City of Allison
Organization Active NPI Land Ambulance · Allison, IA
NPI 1881741742 · NPPES record last updated Nov 2, 2011
Key facts
- NPI
- 1881741742
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 2120100 (IA)
- Legal business name
- CITY OF ALLISON
- Practice address
- 1002 7TH St
Allison, IA 50602 - Phone
- (515) 887-3553
- Fax
- (515) 887-2000
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Angie Weichert
- Title
- Account Manager
- Phone
- (515) 887-3553
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120827000858 | IA | Part B Supplier - Ambulance Service Supplier | 5092962019 | Practice locations: Allison, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2120100 | IA | Yes |
Addresses
Primary practice location
1002 7TH St
Allison, IA 50602
Mailing address
PO Box 647
Allison, IA 50602-0647
Phone (319) 267-2245
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007666 | Medicaid | IA |
Other names
- ALLISON-BRISTOW AMBULANCE SERVICE
Other providers in Allison, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2011. 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.