NPIMap

Organization Active NPI

Metropolitan Transit Authority of Black Hawk County

  • Bus
  • Waterloo, IA
National Provider Identifier
1528285384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
BusTaxonomy code 347B00000X
Legal business name
METROPOLITAN TRANSIT AUTHORITY OF BLACK HAWK COUNTY
Practice address
1515 Black Hawk St
Waterloo, IA 50702-1138
Phone
(319) 234-5714
Fax
(319) 234-6809
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald Dean Van Der Meide
Title
Finance Manager
Phone
(319) 234-5714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Bus 347B00000X Primary

Addresses

Primary practice location

1515 Black Hawk St
Waterloo, IA 50702-1138

Mailing address

1515 Black Hawk St
Waterloo, IA 50702-1138
Phone (319) 234-5714

Other identifiers 1

IdentifierTypeStateIssuer
0110106OtherIAIME PROVIDER NUMBER

Other names 1

  • MET Transit Other name

National Provider Directory

National Provider Directory

Locations

1515 Black Hawk St
Waterloo, IA 50702
Phone (319) 234-5714

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528285384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BLACK HAWK ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507021138",
            "telephone_number": "319-234-5714",
            "fax_number": "319-234-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BLACK HAWK ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507021138",
            "telephone_number": "319-234-5714",
            "fax_number": "319-234-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN TRANSIT AUTHORITY OF BLACK HAWK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN DER MEIDE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "319-234-5714"
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IME PROVIDER NUMBER",
            "identifier": "0110106",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MET Transit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.