Pleasantville Fire Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2630700 Issued in IA

Legal business name

PLEASANTVILLE FIRE RESCUE

Doing business as

Pleasantville Emergency Services

Practice address

1012 Business Hwy 5
Pleasantville, IA 50225

Phone

(515) 848-5123

Fax

(515) 848-5066

NPI assigned

Aug 4, 2006

Last updated

Oct 12, 2018By 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

Mr. Jordan R Van Ness, PARAMEDIC

Title

EMS Director

Phone

(641) 891-2029

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pleasantville Emergency Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1730197401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 BUSINESS HWY 5",
            "city": "PLEASANTVILLE",
            "state": "IA",
            "postal_code": "50225",
            "telephone_number": "515-848-5123",
            "fax_number": "515-848-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTVILLE FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "VAN NESS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "641-891-2029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2630700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141457",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasantville Emergency Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Pleasantville, IA
• Providers in Pleasantville, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.