Organization Active NPI

County of Greene

Doing business as Greene County Ambulance

  • Land Ambulance
  • Jefferson, IA
National Provider Identifier
1780148932
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF GREENE
Doing business as
Greene County Ambulance
Practice address
204 N Grimmell Rd
Jefferson, IA 50129-1732
Phone
(515) 386-2136
NPI assigned
Jan 22, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
John Muir
Title
Chair
Phone
(515) 386-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

204 N Grimmell Rd
Jefferson, IA 50129-1732

Mailing address

204 S Chestnut St
Jefferson, IA 50129-2204
Phone (515) 386-3101

Other names 1

  • Greene County Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607002168 IA Part B Supplier - Ambulance Service Supplier 8426381328 Practice locations: Jefferson, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2163936Greene County Ambulance204 N Grimmell Rd, Jefferson, IA 50129Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

Locations

204 N Grimmell Rd
Jefferson, IA 50129
Phone (515) 386-2136

204 S Chestnut St
Jefferson, IA 50129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1780148932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S CHESTNUT ST",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501292204",
            "telephone_number": "515-386-3101",
            "fax_number": "515-386-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N GRIMMELL RD",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501291732",
            "telephone_number": "515-386-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GREENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "515-386-3101"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.