Active NPI
City of Milo
- Land Ambulance
- Milo, IA
National Provider Identifier
1902979719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 29120200
- Legal business name
- CITY OF MILO
- Practice address
- 100 Main Street
Milo, IA 50166 - Phone
- (641) 942-6241
- Fax
- (641) 942-6471
- NPI assigned
- Nov 17, 2006
- Last updated
- Aug 22, 2020
- 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
- Tom Leroy Bales
- Title
- Fire Chief
- Phone
- (641) 942-6241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 29120200 | IA | Primary |
Addresses
Primary practice location
100 Main Street
Milo, IA 50166
Mailing address
PO Box 111
Milo, IA 50166-0111
Phone (641) 942-6241
Other names 1
- MILO EMS SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120224000385 | IA | Part B Supplier - Ambulance Service Supplier | 7618135484 | Practice locations: Milo, IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902979719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "MILO",
"state": "IA",
"postal_code": "501660111",
"telephone_number": "641-942-6241",
"fax_number": "641-942-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN STREET",
"city": "MILO",
"state": "IA",
"postal_code": "50166",
"telephone_number": "641-942-6241",
"fax_number": "641-942-6471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MILO",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BALES",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "LEROY",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "641-942-6241"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "29120200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MILO EMS SERVICE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Milo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.