Active NPI
City of Oakland
- Land Ambulance
- Oakland, IA
National Provider Identifier
1497824841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2780600
- Legal business name
- CITY OF OAKLAND
- Practice address
- 218 Oakland Ave.
Oakland, IA 51560 - Phone
- (402) 572-4019
- Fax
- (402) 965-8594
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas C Reed
- Title
- Emt-I
- Phone
- (402) 572-4019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2780600 | IA | Primary |
Addresses
Primary practice location
218 Oakland Ave.
Oakland, IA 51560
Mailing address
PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70161 | Other | IA | BLUE CROSS BLUE SHIELD |
| PENDING | Medicaid | IA |
Other names 1
- OAKLAND VOL. FIRE & RESCUE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070502000154 | IA | Part B Supplier - Ambulance Service Supplier | 6204932643 | Practice locations: Oakland, IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192406400000",
"number": "1497824841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641880",
"city": "OMAHA",
"state": "NE",
"postal_code": "681647880",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 OAKLAND AVE.",
"city": "OAKLAND",
"state": "IA",
"postal_code": "51560",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF OAKLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2007-10-15",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EMT-I",
"authorized_official_telephone_number": "402-572-4019",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2780600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "70161",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OAKLAND VOL. FIRE & RESCUE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakland, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.