CHICKASAW AMBULANCE SERVICE INC (NPI# 1154463081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154463081 |
| Entity Type | Organization |
| Organization Name | CHICKASAW AMBULANCE SERVICE INC |
| Practice Address |
121 Buckeye Street Fredericksburg IA 50630 |
| Practice Telephone | 5632376414 |
| Practice Fax Number | 5632376414 |
| Mailing Telephone | 5632376414 |
| Mailing Fax Number | 5632376414 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES J COOK (PRESIDENT) |
| Authorized Official Telephone | 5632376414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0011122 | 05 |
| Street Address |
121 BUCKEYE STREET |
| City | FREDERICKSBURG |
| State | IA |
| Zip Code | 50630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838687 | Steven William Horak | Chiropractor | 111 West Main Street, Fredericksburg, IA 50630 | 2005-08-15 |
| 1447582390 | Pathways Behavioral Services Inc | Community/Behavioral Health | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2010-02-03 |
| 1396376414 | Molly Barbara Demuth | Counselor | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2020-01-28 |
| 1942611751 | Lacey Schmitt | Counselor | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2014-05-14 |
| 1922320084 | Pathways Behavioral Services Inc | Substance Abuse Rehabilitation Facility | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2010-02-17 |
| 1033438809 | Jillian Jolley | Doula | 205 S Washington Ave, Fredericksburg, IA 50630-1036 | 2010-05-19 |
| 1386811321 | Laurie Danae Thein | Counselor | 123 E Main St, Fredericksburg, IA 50630-7701 | 2008-05-09 |
| 1184808081 | Fredericksburg Comm School District | Local Education Agency (LEA) | 401 E High St, Fredericksburg, IA 50630-7730 | 2007-12-27 |
| 1649530924 | Shelley Carter | Military Health Care Provider | 2436 Pembroke Ave, Fredericksburg, IA 50630-9499 | 2012-05-21 |
| 1326248402 | Amber Rose Suckow | Specialist/Technologist | 2865 Newell Ave, Fredericksburg, IA 50630-9515 | 2007-07-18 |
| Find all providers in zip 50630 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 50630 |
Please comment or provide details below to improve the information on CHICKASAW AMBULANCE SERVICE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.