CITY OF GRANGER NPI 1427080662

NPI Information

NPI: 1427080662
Provider Name: CITY OF GRANGER

Other Name: GRANGER COMMUNITY AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1906 MAIN STREET
GRANGER, IA
ZIP 50109
Phone: (515) 999-2210
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CITY OF GRANGER is a land transport ambulance in Granger, IA. CITY OF GRANGER NPI is 1427080662. The provider is registered as an organization entity type.
The provider Other Name Is Granger Community Ambulance.

The provider's business location address is:

1906 MAIN STREET
GRANGER, IA
ZIP 50109
Phone: (515) 999-2210
Fax: (515) 999-2338

The provider's authorized official is Patty A Tiernan .
The authorized official title is Captain and has the following contact phone number (515) 999-2210.

The CLIA number assigned to this NPI record is 16D0982132 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 6/19/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	2250500	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	I18177	MEDICARE UPIN	IOWA
2	0731661	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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