Active NPI
City of Tama
- Land Ambulance
- Tama, IA
National Provider Identifier
1992721344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2860500
- Legal business name
- CITY OF TAMA
- Practice address
- 305 Siegel St
Tama, IA 52339-2317 - Phone
- (641) 484-2425
- Fax
- (641) 484-2715
- NPI assigned
- Jul 15, 2006
- 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
- Mr. Christopher T Bearden
- Title
- Mayor
- Phone
- (641) 484-2425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2860500 | IA | Primary |
Addresses
Primary practice location
305 Siegel St
Tama, IA 52339-2317
Mailing address
305 Siegel St
Tama, IA 52339-2317
Phone (641) 484-2425
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07481 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0074815 | Medicaid | IA |
Other names 1
- TAMA AMBULANCE 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 |
|---|---|---|---|---|
| O20100121000690 | IA | Part B Supplier - Ambulance Service Supplier | 5193867604 | Practice locations: Tama, IA |
National Provider Directory
National Provider DirectoryLocations
305 Siegel St
Tama, IA 52339
Phone (515) 484-3822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1992721344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 SIEGEL ST",
"city": "TAMA",
"state": "IA",
"postal_code": "523392317",
"telephone_number": "641-484-2425",
"fax_number": "641-484-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SIEGEL ST",
"city": "TAMA",
"state": "IA",
"postal_code": "523392317",
"telephone_number": "641-484-2425",
"fax_number": "641-484-2715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF TAMA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "BEARDEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MAYOR",
"authorized_official_telephone_number": "641-484-2425",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2860500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07481",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074815",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TAMA AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tama, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.