City of Bancroft
Organization Active NPI Land Ambulance · Bancroft, IA
NPI 1720140734 · NPPES record last updated Feb 14, 2013
Key facts
- NPI
- 1720140734
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 25508 (IA)
- Legal business name
- CITY OF BANCROFT
- Practice address
- 105 E Ramsey St
Bancroft, IA 50517-8129 - Phone
- (515) 885-2382
- Fax
- (515) 885-2383
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Tim Rowlet
- Title
- City Clerk
- Phone
- (515) 885-2382
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130607000241 | IA | Part B Supplier - Ambulance Service Supplier | 8921246646 | Practice locations: Bancroft, IA |
National Provider Directory
Locations
105 E Ramsey St
Bancroft, IA 50517
Phone (515) 885-2382
122 W Ramsey St
Bancroft, IA 50517
Phone (515) 885-2336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 25508 | IA | Yes |
Addresses
Primary practice location
105 E Ramsey St
Bancroft, IA 50517-8129
Mailing address
PO Box 157
Bancroft, IA 50517-0157
Phone (515) 885-2382
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137927 | Medicaid | IA |
Other providers in Bancroft, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2013. 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.