City of Kingsley

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2750300 Issued in IA

Legal business name

CITY OF KINGSLEY

Practice address

207 East 1St Street
Kingsley, IA 51028

Phone

(712) 378-3769

Fax

(712) 378-3601

NPI assigned

Dec 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-7080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1528120334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 EAST 1ST STREET",
            "city": "KINGSLEY",
            "state": "IA",
            "postal_code": "51028",
            "telephone_number": "712-378-3769",
            "fax_number": "712-378-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KINGSLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-7080"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2750300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Lee Bowman
• Care Initiatives (Kingsley Specialty Care)
• Todd M Goodwin, D.C.
• Katie Ann Howe, PHARMD
• Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine - Kingsley)
• Karl & Sara Koelling DDS, P.C. (Kingsley Dental Clinic)
• Kingsley Drug Inc (Kingsley Drug)

• Ambulance in Kingsley, IA
• Providers in Kingsley, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.

Verify at the official NPI Registry.