Active NPI
Community Ambulance Service for Northern Des Moines County
- Land Ambulance
- Mediapolis, IA
National Provider Identifier
1932277795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2290400
- Legal business name
- COMMUNITY AMBULANCE SERVICE FOR NORTHERN DES MOINES COUNTY
- Practice address
- 412 Main St.
Mediapolis, IA 52637-0400 - Phone
- (319) 394-3440
- Fax
- (319) 394-3440
- NPI assigned
- Dec 1, 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
- Robert Gerling
- Title
- Administrator
- Phone
- (319) 394-3440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2290400 | IA | Primary |
Addresses
Primary practice location
412 Main St.
Mediapolis, IA 52637-0400
Mailing address
412 Main St.
Box 400
Mediapolis, IA 52637-0400
Phone (319) 394-3440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0180844 | 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 |
|---|---|---|---|---|
| O20120307000664 | IA | Part B Supplier - Ambulance Service Supplier | 5799944997 | Practice locations: Mediapolis, IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932277795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 MAIN ST.",
"address_2": "BOX 400",
"city": "MEDIAPOLIS",
"state": "IA",
"postal_code": "526370400",
"telephone_number": "319-394-3440",
"fax_number": "319-394-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 MAIN ST.",
"city": "MEDIAPOLIS",
"state": "IA",
"postal_code": "526370400",
"telephone_number": "319-394-3440",
"fax_number": "319-394-3440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY AMBULANCE SERVICE FOR NORTHERN DES MOINES COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GERLING",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "319-394-3440"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2290400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0180844",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mediapolis, IA
- BCP Mediapolis, LLC (Azria Health Prairie Ridge)
- Molly E Bietz, DC
- Bradley Gordon Bork, DDS
- Brenda Ann Campbell, D.C.
- Carruthers Pharmacy PC (Carruthers Pharmacy)
- Whitney Elizabeth Eberhardt, PT, DPT
- Nancy Terese Engelhardt, DC
- Five Star Quality Care Ia LLC (Prairie Ridge Care & Rehabilitation)
- Kimberly Krieger, NP
- Dawn Marie Lero, CFCS-HDFS
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.