Melcher Dallas Emergency Response Association
Organization Active NPI Ambulance · Melcher, IA
NPI 1891099768 · NPPES record last updated Mar 2, 2011
Key facts
- NPI
- 1891099768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 2630400 (IA)
- Legal business name
- MELCHER DALLAS EMERGENCY RESPONSE ASSOCIATION
- Practice address
- 200 NE Center St
Melcher, IA 50163-7776 - Phone
- (515) 962-0108
- Fax
- (515) 962-0108
- NPI assigned
- Jan 6, 2011
- Organization subpart
- No
Authorized official
- Name
- Vance P Vrban
- Title
- Chief
- Phone
- (515) 962-0108
Practitioners 1
-
Laurie A Goff, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110310000152 | IA | Part B Supplier - Ambulance Service Supplier | 2769664804 | Practice locations: Melcher, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2630400 | IA | Yes |
Addresses
Primary practice location
200 NE Center St
Melcher, IA 50163-7776
Mailing address
200 NE Center St
PO Box 548
Melcher, IA 50163-7776
Phone (515) 962-0108
Other names
- MELCHER-DALLAS FIRE AND RESCUE
Other providers in Melcher, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 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.