City of Mapleton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF MAPLETON

Practice address

104 Maple St
Mapleton, IA 51034-1061

Phone

(712) 881-1351

Fax

(712) 881-2726

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Brent Streck

Title

Mayor & Ambulance Director

Phone

(712) 881-1351

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MAPLETON AREA AMBULANCE Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1861553885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 MAIN ST",
            "city": "MAPLETON",
            "state": "IA",
            "postal_code": "510341214",
            "telephone_number": "712-881-1351",
            "fax_number": "712-881-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAPLE ST",
            "city": "MAPLETON",
            "state": "IA",
            "postal_code": "510341061",
            "telephone_number": "712-881-1351",
            "fax_number": "712-881-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MAPLETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "STRECK",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MAYOR & AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "712-881-1351"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "25470",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254706",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLETON AREA AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAPLETON AREA AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Elizabeth Breyfogle, LMT
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• Kari L Hanneman, PHARMD, RPH
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• Land Ambulance in Mapleton, IA
• Providers in Mapleton, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.