Active NPI
Anamosa Area Ambulance Service
- Land Ambulance
- Anamosa, IA
National Provider Identifier
1972585966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2530100
- Legal business name
- ANAMOSA AREA AMBULANCE SERVICE
- Practice address
- 101 Grant Wood Dr
Anamosa, IA 52205-0000 - Phone
- (319) 481-6409
- Fax
- (319) 481-6339
- NPI assigned
- Nov 16, 2005
- Last updated
- Nov 17, 2016
- 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. Sheila R Frink, PARAMEDIC SPECIALIST
- Title
- Director
- Phone
- (319) 462-5817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2530100 | IA | Primary |
Addresses
Primary practice location
101 Grant Wood Dr
Anamosa, IA 52205-0000
Mailing address
101 Grant Wood Dr
Anamosa, IA 52205-2117
Phone (319) 481-6409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166439 | 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 |
|---|---|---|---|---|
| O20100312000767 | IA | Part B Supplier - Ambulance Service Supplier | 9335172535 | Practice locations: Anamosa, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0988302 | Anamosa Area Ambulance Service | Certificate of waiver | Jun 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
101 Grant Wood Dr
Anamosa, IA 52205
Phone (319) 481-6346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479340800000",
"number": "1972585966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GRANT WOOD DR",
"city": "ANAMOSA",
"state": "IA",
"postal_code": "522052117",
"telephone_number": "319-481-6409",
"fax_number": "319-481-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GRANT WOOD DR",
"city": "ANAMOSA",
"state": "IA",
"postal_code": "522050000",
"telephone_number": "319-481-6409",
"fax_number": "319-481-6339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANAMOSA AREA AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2016-11-17",
"status": "A",
"authorized_official_last_name": "FRINK",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "319-462-5817",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PARAMEDIC SPECIALIST"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2530100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0166439",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anamosa, IA
- Abbe Center for CMH at Jones County
- Robert T Achs, SLP
- Athena M Amerman, PHARM D.
- Anamosa Aid Opco LLC (Pinicon Place)
- Anamosa Al/MC, LLC (Pinicon Senior Living)
- Anamosa Community Hospital, Inc (Community Health of Jones County)
- Anamosa Community Hospital, Inc. (Community Health of Jones County)
- Anamosa Community Hospital, Inc. (Community Health of Jones County)
- Anamosa Community Hospital, Inc.
- Anamosa Community School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.