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CITY OF TRAER NPI 1255320420


NPI Information

NPI: 1255320420
Provider Name: CITY OF TRAER

Doing Business As: TRAER AMBULANCE SERVICE

Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 16D0891031

Address:
649 2ND ST
TRAER, IA
ZIP 50675
Phone: (319) 478-2084
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CITY OF TRAER is an ambulance in Traer, IA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). CITY OF TRAER NPI is 1255320420. The provider is registered as an organization entity type.
The provider Is Doing Business As Traer Ambulance Service.

The provider's business location address is:

649 2ND ST
TRAER, IA
ZIP 50675-230
Phone: (319) 478-2084
Fax: (319) 478-2084

The provider's authorized official is Steven Fuller .
The authorized official title is Captain and has the following contact phone number (319) 478-2084.

The CLIA number assigned to this NPI record is 16D0891031 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 12/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulance2860700IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
122411MEDICARE ID-TYPE UNSPECIFIEDIOWA
20073700MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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