City of Radcliffe

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2420600 Issued in IA

Legal business name

CITY OF RADCLIFFE

Practice address

310 Isabella St
Radcliffe, IA 50230-1102

Phone

(515) 899-2118

Fax

(515) 899-2118

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Debra A Benson

Title

City Clerk

Phone

(515) 899-2118

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CITY OF RADCLIFFE AMBULANCE Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1689846248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ISABELLA ST",
            "city": "RADCLIFFE",
            "state": "IA",
            "postal_code": "502301102",
            "telephone_number": "515-899-2118",
            "fax_number": "515-899-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ISABELLA ST",
            "city": "RADCLIFFE",
            "state": "IA",
            "postal_code": "502301102",
            "telephone_number": "515-899-2118",
            "fax_number": "515-899-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RADCLIFFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "515-899-2118"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2420600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178038",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF RADCLIFFE AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Decker, M.A. CCC-SLP
• Midwest Dysphagia Diagnostics

• All providers in Radcliffe, IA
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.