SUPERIOR AMBULANCE LC NPI 1730164633

NPI Information

  • NPI: 1730164633
  • Provider Name: SUPERIOR AMBULANCE LC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 1221 S GEAR AVE
    WEST BURLINGTON, IA
    ZIP 52655
  • Phone: (319) 768-4764

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NPI Details

SUPERIOR AMBULANCE LC is a land transport ambulance in West Burlington, IA. SUPERIOR AMBULANCE LC NPI is 1730164633. The provider is registered as an organization entity type.

The provider's business location address is:

1221 S GEAR AVE
WEST BURLINGTON, IA
ZIP 52655-679
Phone: (319) 768-4764
Fax: (319) 768-3607

The provider's authorized official is Jerry Johnston .
The authorized official title is Ems Director and has the following contact phone number (319) 768-4764.

The enumeration date for this NPI number is 12/13/2005 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
13416L0300XAmbulanceLand Transport2290600IOWAYes

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
124347OTHERIOWAWELLMARK
20223214OTHERIOWAMBC OF IOWA
324347OTHERBLUE CROSS FEDERAL
40223214MEDICAIDIOWA
524347OTHERIOWABLUE CROSS OF IOWA
624347OTHERIOWAALLIANCE SELECT/BC/BS
70223214OTHERIOWAIOWA HEALTH SOLUTIONS
824347OTHERIOWABC/BS ALLIANCE SELECT
924347OTHERIOWABC/BS OF 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: 11/21/2025

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