Town of State Center

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2646000 Issued in IA

Legal business name

TOWN OF STATE CENTER

Practice address

115 E Main
State Center, IA 50247-7765

Phone

(641) 483-2823

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Bradley M Pfantz

Title

Chief

Phone

(641) 483-2823

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• State Center Fire & EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1669959029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-991-7866",
            "fax_number": "888-506-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN",
            "city": "STATE CENTER",
            "state": "IA",
            "postal_code": "502477765",
            "telephone_number": "641-483-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF STATE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "PFANTZ",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "641-483-2823"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2646000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2646000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Center Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "State Center Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MMSC Ventures Inc
• Luke Pinnick
• Brandi L Sparks, D.C.
• State Center Chiropractic, LLC
• Ronald C. Terrill, M.D.
• Unitypoint Health - Marshalltown
• West Marshall Community School District

• All providers in State Center, IA
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.