Organization Active NPI

Anamosa Area Ambulance Service

  • Land Ambulance
  • Anamosa, IA
National Provider Identifier
1972585966
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2530100 Issued in IA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0166439MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100312000767 IA Part B Supplier - Ambulance Service Supplier 9335172535 Practice locations: Anamosa, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0988302Anamosa Area Ambulance Service101 Grant Wood Drive, Anamosa, IA 52205Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.