Buffalo Center Volunteer Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2950100 Issued in IA

Legal business name

BUFFALO CENTER VOLUNTEER AMBULANCE

Practice address

314 1St Avenue NW
Buffalo Center, IA 50424-0000

Phone

(605) 562-2505

NPI assigned

Nov 25, 2008

Last updated

Nov 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marsha Peterson

Title

Sec. / Treasurer

Phone

(641) 562-2505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1598910002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504240437",
            "telephone_number": "605-562-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 1ST AVENUE NW",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504240000",
            "telephone_number": "605-562-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO CENTER VOLUNTEER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "SEC. / TREASURER",
        "authorized_official_telephone_number": "641-562-2505"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2950100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063500",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyann Marie Beenken, PT
• Buffalo Center Medical and Specialty Services PLLC
• Buffalo Center Volunteer Ambulance
• Fairmont Orthopedics and Sports Medicine, PA (Center for Specialty Care Sleep Eye)
• Steven Harris Johnson, D.D.S.
• Kelly Lynn Lillie, RN, CNP
• Mercy Health Services-Iowa Corp. (Mercy Family Clinic-Buffalo Center)
• Mercy Health Services-Iowa Corp. (Mercy Family Clinic-Buffalo Center)

• Land Ambulance in Buffalo Center, IA
• Providers in Buffalo Center, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.