Durant Ambulance Service, Inc.
Organization Active NPI Land Ambulance · Durant, IA
NPI 1821167883 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1821167883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- DURANT AMBULANCE SERVICE, INC.
- Practice address
- 703 5TH Street
Durant, IA 52747-0643 - Phone
- (563) 785-4540
- Fax
- (563) 785-4540
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark L. Heuer
- Title
- Bookkeeper
- Phone
- (563) 785-4801
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100512000729 | IA | Part B Supplier - Ambulance Service Supplier | 7315075397 | Practice locations: Durant, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
703 5TH Street
Durant, IA 52747-0643
Mailing address
PO Box 643
Durant, IA 52747-0643
Phone (563) 785-4540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006197 | Medicaid | IA |
Other providers in Durant, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.