CITY OF CLARKSVILLE NPI 1285720458

NPI Information

NPI: 1285720458
Provider Name: CITY OF CLARKSVILLE

Doing Business As: CLARKSVILLE AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 16D2023090

Address:
115 W SUPERIOR
CLARKSVILLE, IA
ZIP 50619
Phone: (319) 278-4531
Get Directions

CITY OF CLARKSVILLE is a land transport ambulance in Clarksville, IA. CITY OF CLARKSVILLE NPI is 1285720458. The provider is registered as an organization entity type.
The provider Is Doing Business As Clarksville Ambulance Service.

The provider's business location address is:

115 W SUPERIOR
CLARKSVILLE, IA
ZIP 50619
Phone: (319) 278-4531
Fax: (319) 278-4941

The provider's authorized official is Larry D Betts .
The authorized official title is City Clerk/treasurer and has the following contact phone number (319) 278-4531.

The CLIA number assigned to this NPI record is 16D2023090 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	2120300	IOWA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0059055	MEDICAID	IOWA

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: 5/5/2024

NPI Synchronization or Removal

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