Active NPI
City of Monroe
- Land Ambulance
- Monroe, IA
National Provider Identifier
1891787818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00914 | Other | BLUE CROSS BLUE SHIELD | |
| 0099143 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050420000115 | IA | Part B Supplier - Ambulance Service Supplier | 2466499090 | Practice locations: Monroe, IA |
National Provider Directory
National Provider DirectoryNPI 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.