Pella Community Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2630900 Issued in IA

Legal business name

PELLA COMMUNITY AMBULANCE SERVICE

Practice address

604 Main St
Box 911
Pella, IA 50219-1718

Phone

(641) 628-1780

Fax

(641) 628-1478

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Gregory Alan Higginbotham

Title

Chief

Phone

(641) 628-1780

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1861470874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "address_2": "BOX 911",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502190385",
            "telephone_number": "641-628-1780",
            "fax_number": "641-628-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "address_2": "BOX 911",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191718",
            "telephone_number": "641-628-1780",
            "fax_number": "641-628-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLA COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-08-05",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "641-628-1780"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2630900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190561",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "greghigginbotham@pellaems.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email,mail",
            "address_1": "604 Main St",
            "address_2": "Box 911",
            "city": "Pella",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502191718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsey Paramore, DDS
• Carie Rae Parks, PHARM D
• Stephanie Patin
• Luke B Pavlat
• Whitney Pavlat, ATS
• Pella Counseling PLC
• Pella CSD
• Pella Family Chiropractic PC
• Pella Health & Fitness PC
• Pella Imaging Consultants, Inc

• Land Ambulance in Pella, IA
• Providers in Pella, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.