Organization Active NPI

City of Monroe

  • Land Ambulance
  • Monroe, IA
National Provider Identifier
1891787818
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF MONROE
Practice address
107 N Monroe
Monroe, IA 50170
Phone
(641) 259-2319
Fax
(641) 259-2805
NPI assigned
Aug 16, 2005
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Mrs. Kim L Thomas
Title
City Clerk
Phone
(641) 259-2319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

107 N Monroe
Monroe, IA 50170

Mailing address

PO Box 370
Monroe, IA 50170-0370
Phone (641) 259-2319

Other identifiers 2

IdentifierTypeStateIssuer
00914OtherBLUE CROSS BLUE SHIELD
0099143MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000115 IA Part B Supplier - Ambulance Service Supplier 2466499090 Practice locations: Monroe, 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": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1891787818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "MONROE",
            "state": "IA",
            "postal_code": "501700370",
            "telephone_number": "641-259-2319",
            "fax_number": "641-259-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MONROE",
            "city": "MONROE",
            "state": "IA",
            "postal_code": "50170",
            "telephone_number": "641-259-2319",
            "fax_number": "641-259-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "641-259-2319",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00914",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099143",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.