Organization Active NPI

Midwest Ambucare

  • Taxi
  • Des Moines, IA
National Provider Identifier
1811043326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
06-38844 Issued in IA
Legal business name
MIDWEST AMBUCARE
Practice address
1200 Keosauqua Way
Des Moines, IA 50309-1007
Phone
(515) 244-0409
Fax
(515) 243-4932
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kim Eugene Chapman
Title
President
Phone
(515) 252-1721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 06-38844 IA Primary

Addresses

Primary practice location

1200 Keosauqua Way
Des Moines, IA 50309-1007

Mailing address

2535 106TH St
Urbandale, IA 50322-3766
Phone (515) 252-1721

Other identifiers 1

IdentifierTypeStateIssuer
0234005MedicaidIA

National Provider Directory

National Provider Directory

Locations

1200 Keosauqua Way
Des Moines, IA 50309
Phone (515) 244-0409

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811043326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 106TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223766",
            "telephone_number": "515-252-1721",
            "fax_number": "515-252-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 KEOSAUQUA WAY",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091007",
            "telephone_number": "515-244-0409",
            "fax_number": "515-243-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST AMBUCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-252-1721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "IA",
            "license": "06-38844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234005",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.