Organization Active NPI

City of Dike

Doing business as Dike Ambulance Service

  • Land Ambulance
  • Dike, IA
National Provider Identifier
1669529384
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2380100 Issued in IA
Legal business name
CITY OF DIKE
Doing business as
Dike Ambulance Service
Practice address
138 Front St
Dike, IA 50624
Phone
(319) 989-2291
Fax
(319) 989-2694
NPI assigned
Jan 4, 2007
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Patti Freese
Title
City Clerk
Phone
(319) 989-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2380100 IA Primary

Addresses

Primary practice location

138 Front St
Dike, IA 50624

Mailing address

540 Main St
PO Box 160
Dike, IA 50624-7724
Phone (319) 989-2291

Other identifiers 1

IdentifierTypeStateIssuer
0019000MedicaidIA

Other names 1

  • DIKE AMBULANCE SERVICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000989 IA Part B Supplier - Ambulance Service Supplier 7214195361 Practice locations: Dike, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1669529384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MAIN ST",
            "address_2": "PO BOX 160",
            "city": "DIKE",
            "state": "IA",
            "postal_code": "506247724",
            "telephone_number": "319-989-2291",
            "fax_number": "319-989-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 FRONT ST",
            "city": "DIKE",
            "state": "IA",
            "postal_code": "50624",
            "telephone_number": "319-989-2291",
            "fax_number": "319-989-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DIKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "FREESE",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "319-989-2291"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2380100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIKE AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dike, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.