NPIMap

Organization Active NPI

City of Allison

Doing business as Allison-Bristow Ambulance Service

  • Land Ambulance
  • Allison, IA
National Provider Identifier
1881741742
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2120100 Issued in IA
Legal business name
CITY OF ALLISON
Doing business as
Allison-Bristow Ambulance Service
Practice address
1002 7TH St
Allison, IA 50602
Phone
(515) 887-3553
Fax
(515) 887-2000
NPI assigned
Jan 4, 2007
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Angie Weichert
Title
Account Manager
Phone
(515) 887-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2120100 IA Primary

Addresses

Primary practice location

1002 7TH St
Allison, IA 50602

Mailing address

PO Box 647
Allison, IA 50602-0647
Phone (319) 267-2245

Other names 1

  • ALLISON-BRISTOW AMBULANCE SERVICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000858 IA Part B Supplier - Ambulance Service Supplier 5092962019 Practice locations: Allison, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1881741742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "ALLISON",
            "state": "IA",
            "postal_code": "506020647",
            "telephone_number": "319-267-2245",
            "fax_number": "319-267-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 7TH ST",
            "city": "ALLISON",
            "state": "IA",
            "postal_code": "50602",
            "telephone_number": "515-887-3553",
            "fax_number": "515-887-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ALLISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "WEICHERT",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "515-887-3553"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2120100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLISON-BRISTOW AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.