NPIMap

Organization Active NPI

Oto Community Ambulance Service

  • Land Ambulance
  • Oto, IA
National Provider Identifier
1720017684
Registry record updated Nov 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2972100 Issued in IA
Legal business name
OTO COMMUNITY AMBULANCE SERVICE
Practice address
27 Washington St
Oto, IA 51044-7705
Phone
(712) 840-1447
NPI assigned
Jul 2, 2006
Last updated
Nov 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2013

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

Authorized official

Name
Mrs. Michele Smith
Title
Account Representative
Phone
(877) 882-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2972100 IA Primary

Addresses

Primary practice location

27 Washington St
Oto, IA 51044-7705

Mailing address

PO Box 25
Oto, IA 51044-0025
Phone (712) 840-1447

Other identifiers 1

IdentifierTypeStateIssuer
0210278MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383436800000",
    "number": "1720017684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "OTO",
            "state": "IA",
            "postal_code": "510440025",
            "telephone_number": "712-840-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WASHINGTON ST",
            "city": "OTO",
            "state": "IA",
            "postal_code": "510447705",
            "telephone_number": "712-840-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTO COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-11-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "877-882-9911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2972100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210278",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; 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.