City of Hudson
Organization Active NPI Ambulance · Hudson, IA
NPI 1679645873 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1679645873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 2070500 (IA)
- Legal business name
- CITY OF HUDSON
- Practice address
- 200 Waterloo Rd.
Hudson, IA 50643-9717 - Phone
- (319) 988-3322
- Fax
- (319) 988-3247
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Louie Dean Adams, PARAMEDIC
- Title
- Ambulance Captain
- Phone
- (319) 988-3322
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120321000649 | IA | Part B Supplier - Ambulance Service Supplier | 1557521929 | Practice locations: Hudson, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2070500 | IA | Yes |
Addresses
Primary practice location
200 Waterloo Rd.
Hudson, IA 50643-9717
Mailing address
525 Jefferson St.
P. O. Box 712
Hudson, IA 50643-9717
Phone (319) 988-3322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005702 | Medicaid | IA | |
| 00570 | Other | IA | BCBS |
| 590007396 | Other | IN | RAILROAD |
Other providers in Hudson, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.