Active NPI
City of Ute
- Land Ambulance
- Ute, IA
National Provider Identifier
1992829071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF UTE
- Practice address
- 158 E Main St
Ute, IA 51060-0000 - Phone
- (712) 885-2571
- NPI assigned
- Mar 16, 2007
- 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
- Missy J Wise
- Title
- Account Manager
- Phone
- (515) 887-3553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
158 E Main St
Ute, IA 51060-0000
Mailing address
169 W Main St
Ute, IA 51060-7705
Phone (712) 885-2571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13673 | Other | IA | WELLMARK BC BS NUMBER |
| 0136739 | Medicaid | IA |
Other names 1
- Ute 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 |
|---|---|---|---|---|
| O20100219000687 | IA | Part B Supplier - Ambulance Service Supplier | 5890839476 | Practice locations: Ute, IA |
National Provider Directory
National Provider DirectoryLocations
100 E Main St
Ute, IA 51060
Phone (712) 885-2205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321488000000",
"number": "1992829071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 W MAIN ST",
"city": "UTE",
"state": "IA",
"postal_code": "510607705",
"telephone_number": "712-885-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 E MAIN ST",
"city": "UTE",
"state": "IA",
"postal_code": "510600000",
"telephone_number": "712-885-2571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF UTE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2011-11-17",
"status": "A",
"authorized_official_last_name": "WISE",
"authorized_official_first_name": "MISSY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "515-887-3553"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC BS NUMBER",
"identifier": "13673",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136739",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ute Ambulance Service",
"code": "5",
"type": "Other Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.