Shenandoah Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2730800 Issued in IA

Legal business name

SHENANDOAH AMBULANCE SERVICE

Practice address

300 Pershing Ave
Shenandoah, IA 51601-2355

Phone

(712) 246-1230

Fax

(712) 246-7357

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Matt Sells

Title

Ceo

Phone

(712) 246-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1912084716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PERSHING AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012355",
            "telephone_number": "712-246-1230",
            "fax_number": "712-246-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERSHING AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012355",
            "telephone_number": "712-246-1230",
            "fax_number": "712-246-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "SELLS",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-246-7100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2730800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228569",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Theodore Salwitz, MD
• Rebecca Ann Schaeffer, RN
• John Schleef, D.C.
• Alicia Pearl Schroder, PHARMD
• David W. Shane, L.C.S.W. (ILLINOIS)
• Shenandoah Care Center, LLC
• Shenandoah Community School District
• Shenandoah Doctors Clinic
• Shenandoah Enterprises LLC
• Shenandoah Family Dentistry, P.C.

• Land Ambulance in Shenandoah, IA
• Providers in Shenandoah, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.