City of Pleasant Hill

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7720700 Issued in IA

Legal business name

CITY OF PLEASANT HILL

Practice address

5151 Maple Dr
Ste 1
Pleasant Hill, IA 50327-8456

Phone

(515) 262-9360

Fax

(515) 262-9766

NPI assigned

Jan 17, 2007

Last updated

Nov 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ivan Eugene Williams

Title

Asst. Cheif PHFD

Phone

(515) 262-9360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1902958150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MAPLE DR",
            "address_2": "STE 1",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278456",
            "telephone_number": "515-262-9360",
            "fax_number": "515-262-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MAPLE DR",
            "address_2": "STE 1",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278456",
            "telephone_number": "515-262-9360",
            "fax_number": "515-262-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PLEASANT HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ASST. CHEIF PHFD",
        "authorized_official_telephone_number": "515-262-9360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "7720700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Initiatives (Parkridge Specialty Care)
• Jenna L Carpenter, PT, DPT
• Illa Chandani, MD
• Sierra Marie Chapman, NP
• Cio,LLC
• Cheryl Linn Clarke, R.PH.
• Megan Cole
• Community Care of Iowa, LLC (Not applicable)
• Community Care of Pleasant Hill LLC
• Corey Christopher Conrad, DDS MS

• Land Ambulance in Pleasant Hill, IA
• Providers in Pleasant Hill, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.