City of Shell Rock

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2120600 Issued in IA

Legal business name

CITY OF SHELL ROCK

Doing business as

City of Shell Rock Ambulance

Practice address

303 S Cherry Street
Shell Rock, IA 50670-0522

Phone

(319) 885-6555

Fax

(319) 885-6556

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Nieman

Title

Dept City Clerk

Phone

(319) 885-6555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CITY OF SHELL ROCK AMBULANCE Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710048020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "SHELL ROCK",
            "state": "IA",
            "postal_code": "506700522",
            "telephone_number": "319-885-6555",
            "fax_number": "319-885-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S CHERRY STREET",
            "city": "SHELL ROCK",
            "state": "IA",
            "postal_code": "506700522",
            "telephone_number": "319-885-6555",
            "fax_number": "319-885-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SHELL ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DEPT CITY CLERK",
        "authorized_official_telephone_number": "319-885-6555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2120600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007625",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF SHELL ROCK AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Arthur
• Klarence Anthony Baker, LMSW
• Jessica Boevers, MD
• Amber R Kramer, ARNP
• Lara Lea Kyhl, ARNP
• William Frank Maxwell, D.C.
• Shell Rock Family Health LLC
• Shell Rock Healthcare Center Inc

• Land Ambulance in Shell Rock, IA
• Providers in Shell Rock, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.