Active NPI
City of Clinton
- Ambulance
- Clinton, IA
National Provider Identifier
1649363201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF CLINTON
- Practice address
- 611 S 3Rd Street
Clinton, IA 52732 - Phone
- (563) 242-7545
- NPI assigned
- Oct 2, 2006
- Last updated
- Aug 22, 2020
- 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
- Sarah J Nolan
- Title
- Accounting Specialist
- Phone
- (563) 242-7545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
611 S 3Rd Street
Clinton, IA 52732
Mailing address
611 S 3Rd Street
Clinton, IA 52732
Phone (563) 242-7545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0168161 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100512000561 | IA | Part B Supplier - Ambulance Service Supplier | 6103954177 | Practice locations: Clinton, IA |
National Provider Directory
National Provider Directory- Tax ID family
- City of Clinton Amb Ser
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Bus
- Clinton, IA
- NPI 1114142759
Locations
2311 Roosevelt St
Clinton, IA 52732
Phone (563) 242-0321
344 3rd Ave S
Clinton, IA 52732
Phone (563) 242-0125
611 S 3rd St
Clinton, IA 52732
Phone (319) 242-7545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649363201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S 3RD STREET",
"city": "CLINTON",
"state": "IA",
"postal_code": "52732",
"telephone_number": "563-242-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S 3RD STREET",
"city": "CLINTON",
"state": "IA",
"postal_code": "52732",
"telephone_number": "563-242-7545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CLINTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ACCOUNTING SPECIALIST",
"authorized_official_telephone_number": "563-242-7545"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0168161",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.