City of Altoona

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2770100 Issued in IA

Legal business name

CITY OF ALTOONA

Practice address

950 Venbury Dr
Altoona, IA 50009-2487

Phone

(515) 967-2216

Fax

(515) 967-7146

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sean P McAndrew

Title

Deputy Chief of EMS

Phone

(515) 967-2216

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1548378664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 VENBURY DR",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092487",
            "telephone_number": "515-967-2216",
            "fax_number": "515-967-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 VENBURY DR",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092487",
            "telephone_number": "515-967-2216",
            "fax_number": "515-967-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ALTOONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "MCANDREW",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DEPUTY CHIEF OF EMS",
        "authorized_official_telephone_number": "515-967-2216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2770100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006155",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Cermak, BCBA
• Tena Paul Chau, DNP, FNP-C
• Christensen Chiropractic PC
• Jeffery Tate Christensen, DC
• Tate Christensen, DC
• Alicia Ann Clevenger, D.C.
• Caitlin Dey Clifford, RBT
• Elizabeth Karen Cole, RD, LD
• Sonya Conlon, DDS
• Connected Life Counseling, LLC

• Land Ambulance in Altoona, IA
• Providers in Altoona, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.