Active NPI
City of Remsen-Remsen Ambulance
- Land Ambulance
- Remsen, IA
National Provider Identifier
1992842025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2750800
- 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, 2010
- 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
- Kevin W Rollins, PS
- Title
- Director, Remsen Ambulance
- Phone
- (712) 786-2390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13944 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0139444 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100211000590 | IA | Part B Supplier - Ambulance Service Supplier | 1850434929 | Practice locations: Remsen, IA |
National Provider Directory
National Provider DirectoryLocations
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
- Al of Bavarian Meadows, Inc. (Bavarian Meadows Assisted Living)
- Cornerstone Senior Communities of Remsen (Happy Siesta Health Care Center)
- Audrey Denboer, OTR
- Floyd Valley Hospital (Floyd Valley Clinics - Remsen)
- Joiner and Zwart Dental Partnership (Remsen Family Dentistry)
- Mid-Sioux Opportunity, Inc.
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.