Organization Active NPI

City of Hudson

  • Ambulance
  • Hudson, IA
National Provider Identifier
1679645873
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2070500 Issued in 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
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mr. Louie Dean Adams, PARAMEDIC
Title
Ambulance Captain
Phone
(319) 988-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2070500 IA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000649 IA Part B Supplier - Ambulance Service Supplier 1557521929 Practice locations: Hudson, 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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1679645873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 JEFFERSON ST.",
            "address_2": "P. O. BOX 712",
            "city": "HUDSON",
            "state": "IA",
            "postal_code": "506439717",
            "telephone_number": "319-988-3322",
            "fax_number": "319-988-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WATERLOO RD.",
            "city": "HUDSON",
            "state": "IA",
            "postal_code": "506439717",
            "telephone_number": "319-988-3322",
            "fax_number": "319-988-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HUDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LOUIE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "AMBULANCE CAPTAIN",
        "authorized_official_telephone_number": "319-988-3322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2070500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.