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CITY OF DYSART NPI 1275535353


NPI Information

NPI: 1275535353
Provider Name: CITY OF DYSART

Doing Business As: DYSART AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 16D0968134

Address:
424 MAIN STREET
DYSART, IA
ZIP 52224
Phone: (319) 476-4911
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CITY OF DYSART is a land transport ambulance in Dysart, IA. CITY OF DYSART NPI is 1275535353. The provider is registered as an organization entity type.
The provider Is Doing Business As Dysart Ambulance Service.

The provider's business location address is:

424 MAIN STREET
DYSART, IA
ZIP 52224-212
Phone: (319) 476-4911
Fax: (319) 476-4910

The provider's authorized official is Steven A Weekley .
The authorized official title is Ems Director and has the following contact phone number (319) 476-4911.

The CLIA number assigned to this NPI record is 16D0968134 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2005 and was last updated on 6/17/2008.


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
13416L0300XAmbulanceLand Transport2860100IOWAYes

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
107422MEDICARE ID-TYPE UNSPECIFIEDIOWAAMBULANCE SERVICE
2590006557MEDICARE ID-TYPE UNSPECIFIEDIOWAAMBULANCE SERVICE
30074229MEDICAIDIOWA

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: 11/14/2023

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