Active NPI
Durant Ambulance Service, Inc.
- Land Ambulance
- Durant, IA
National Provider Identifier
1821167883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark L. Heuer
- Title
- Bookkeeper
- Phone
- (563) 785-4801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
703 5TH Street
Durant, IA 52747-0643
Mailing address
PO Box 643
Durant, IA 52747-0643
Phone (563) 785-4540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100512000729 | IA | Part B Supplier - Ambulance Service Supplier | 7315075397 | Practice locations: Durant, IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821167883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 643",
"city": "DURANT",
"state": "IA",
"postal_code": "527470643",
"telephone_number": "563-785-4540",
"fax_number": "563-785-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 5TH STREET",
"city": "DURANT",
"state": "IA",
"postal_code": "527470643",
"telephone_number": "563-785-4540",
"fax_number": "563-785-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURANT AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HEUER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "563-785-4801",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durant, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.