Organization Active NPI

City of Tama

  • Land Ambulance
  • Tama, IA
National Provider Identifier
1992721344
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2860500 Issued in IA
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

Updated by the provider on Oct 22, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07481OtherIABLUE CROSS BLUE SHIELD
0074815MedicaidIA

Other names 1

  • TAMA AMBULANCE SERVICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000690 IA Part B Supplier - Ambulance Service Supplier 5193867604 Practice locations: Tama, IA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.