Jefferson County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

JEFFERSON COUNTY

Doing business as

Jefferson County Ambulance Service

Practice address

1900 W Burlington Ave
Fairfield, IA 52556-2628

Phone

(641) 209-3610

Fax

(641) 209-3612

NPI assigned

Jun 9, 2023

Last updated

May 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy Heisel

Title

Director

Phone

(641) 209-3610

Specialties & licenses 2

Addresses

Other names 1

• Jefferson County Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1871277905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562628",
            "telephone_number": "641-209-3610",
            "fax_number": "641-209-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562628",
            "telephone_number": "641-209-3610",
            "fax_number": "641-209-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HEISEL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "641-209-3610"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• JCHC Specialty Services
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• Jefferson County Homemaker-Home Health Aide Service
• Jefferson County Hospital (JCHC Provider Services)
• Jefferson County Hospital (Jefferson County Health Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.

Verify at the official NPI Registry.