Organization Active NPI

City of Remsen-Remsen Ambulance

  • Land Ambulance
  • Remsen, IA
National Provider Identifier
1992842025
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2750800 Issued in IA
Legal business name
CITY OF REMSEN-REMSEN AMBULANCE
Practice address
212 Lincoln St
Remsen, IA 51050-1025
Phone
(712) 786-2390
Fax
(712) 786-2390
NPI assigned
Jan 30, 2007
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin W Rollins, PS
Title
Director, Remsen Ambulance
Phone
(712) 786-2390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2750800 IA Primary

Addresses

Primary practice location

212 Lincoln St
Remsen, IA 51050-1025

Mailing address

212 Lincoln St
PO Box 575
Remsen, IA 51050-1025
Phone (712) 786-2390

Other identifiers 2

IdentifierTypeStateIssuer
13944OtherIABLUE CROSS BLUE SHIELD
0139444MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100211000590 IA Part B Supplier - Ambulance Service Supplier 1850434929 Practice locations: Remsen, IA

National Provider Directory

National Provider Directory

Locations

109 Fulton St
Remsen, IA 51050
Phone (712) 786-2390

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1992842025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LINCOLN ST",
            "address_2": "PO BOX 575",
            "city": "REMSEN",
            "state": "IA",
            "postal_code": "510501025",
            "telephone_number": "712-786-2390",
            "fax_number": "712-786-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 LINCOLN ST",
            "city": "REMSEN",
            "state": "IA",
            "postal_code": "510501025",
            "telephone_number": "712-786-2390",
            "fax_number": "712-786-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF REMSEN-REMSEN AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR, REMSEN AMBULANCE",
        "authorized_official_telephone_number": "712-786-2390",
        "authorized_official_credential": "PS"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2750800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13944",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139444",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Remsen, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.