City of Sioux Center - City Treasurer

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2840400 Issued in IA

Legal business name

CITY OF SIOUX CENTER - CITY TREASURER

Doing business as

CITY OF SIOUX CENTER - SIOUX CENTER AMBULANCE

Practice address

341 North Main
Sioux Center, IA 51250-0313

Phone

(712) 722-2453

Fax

(712) 722-2495

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Char Kooima

Title

Treasurer

Phone

(712) 722-2453

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CITY OF SIOUX CENTER - SIOUX CENTER AMBULANCE Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1770643132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 NORTH MAIN",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512500313",
            "telephone_number": "712-722-2453",
            "fax_number": "712-722-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 NORTH MAIN",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512500313",
            "telephone_number": "712-722-2453",
            "fax_number": "712-722-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SIOUX CENTER - CITY TREASURER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "KOOIMA",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "712-722-2453"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2840400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211482",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF SIOUX CENTER - SIOUX CENTER AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert Clemens, MD
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• Ambulance in Sioux Center, IA
• Providers in Sioux Center, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.