NORTHEAST IOWA MEDICAL TRANSPORT, INC. (NPI# 1285693861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285693861 |
| Entity Type | Organization |
| Organization Name | NORTHEAST IOWA MEDICAL TRANSPORT, INC. |
| Practice Address |
704 N Vine St West Union IA 52175-1018 |
| Practice Telephone | 5634223723 |
| Practice Fax Number | 5634223723 |
| Mailing Telephone | 5634223723 |
| Mailing Fax Number | 5634223723 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. REGINALD HENRY GROSS (CEO) |
| Authorized Official Telephone | 5634229459 |
| Authorized Official Credential | PARAMEDIC, CRITI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
2330400 | IA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0171249 | 05 |
| Street Address |
704 N VINE ST |
| City | WEST UNION |
| State | IA |
| Zip Code | 52175-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051355 | Kyle Brandt | Physical Therapy Assistant | 112 W Jefferson Street, West Union, IA 52175 | 2017-02-07 |
| 1225188378 | Lew D. Bishop | Audiologist | 6908 Echo Valley Rd., West Union, IA 52175 | 2007-01-11 |
| 1598765398 | Palmer Lutheran Health Center, Inc. | General Acute Care Hospital | 112 Jefferson Street, West Union, IA 52175 | 2005-07-22 |
| 1578842308 | Brittany Rose O'brien | Physical Therapy Assistant | 112 Jefferson St, West Union, IA 52175 | 2011-08-10 |
| 1467666792 | Garvin Moser LLC | Assisted Living Facility | 705 S Pine St, West Union, IA 52175 | 2007-05-09 |
| 1891841441 | Palmer Lutheran Health Center, Inc | Nurse Anesthetist, Certified Registered | 112 Jefferson Street, West Union, IA 52175 | 2007-01-26 |
| 1649350893 | David C. White | Emergency Medicine | 112 Jefferson St, West Union, IA 52175 | 2006-10-16 |
| 1023042686 | Richard Yngve Jacobson Jr. | Nurse Anesthetist, Certified Registered | 112 Jefferson St, West Union, IA 52175 | 2006-07-10 |
| 1801845110 | Palmer Lutheran Health Center, Inc | Clinic/Center | 112 Jefferson Street, West Union, IA 52175 | 2006-05-06 |
| 1265481576 | Palmer Lutheran Health Center, Inc. | Medicare Defined Swing Bed Unit | 112 Jefferson Street, West Union, IA 52175 | 2006-05-06 |
| Find all providers in zip 52175 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316187834 | Adams County Auditor | Ambulance | 215 Sparks Street, West Union, OH 45693 | 2009-02-24 |
| 1700999042 | West Union Volunteer Life Squad Inc | Ambulance | 215 E Sparks St, West Union, OH 45693-1036 | 2006-08-17 |
| 1811997620 | Doddridge County Emergency Squad, Inc | Ambulance | 123 Marie St, West Union, WV 26456-1131 | 2005-07-22 |
| 1578091948 | Doddridge County Commission | Ambulance | 118 E Court St, West Union, WV 26456-1262 | 2017-05-31 |
| 1902346406 | Village of West Union | Ambulance | 215 E Sparks St, West Union, OH 45693-1036 | 2017-03-02 |
| 1609185933 | Doddridge County Ambulance Authority | Ambulance | 118 E Court St, West Union, WV 26456-1262 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445333 | Harpers Ferry Ems Association Inc | Ambulance | 133 North 4th St, Harpers Ferry, IA 52146-9643 | 2020-10-21 |
| 1427662139 | Stage Coach Medical Transport, LLC | Ambulance | 2202 E 48th St, Davenport, IA 52807-1214 | 2020-09-01 |
| 1043848237 | City of Fort Madison | Ambulance | 2335 Avenue L, Fort Madison, IA 52627-4031 | 2020-04-01 |
| 1316502826 | Coin Fire and Rescue | Ambulance | 211 First St, Coin, IA 51636-9998 | 2019-05-09 |
| 1265998942 | City of Iowa Falls | Ambulance | 217 S River St, Iowa Falls, IA 50126-2000 | 2019-02-18 |
| 1487127767 | City of Wallingford | Ambulance | 101 St. James Ave., Wallingford, IA 51365-0307 | 2019-01-09 |
| 1366915241 | Camp Twp - Polk County | Ambulance | 104 Brown St, Runnells, IA 50237-7720 | 2019-01-03 |
| 1275003402 | Westgate Fire & Rescue | Ambulance | 105 Jamison St S, Westgate, IA 50681-8640 | 2018-11-30 |
| 1861969578 | City of Centerville | Ambulance | 314 E Maple St, Centerville, IA 52544-2238 | 2018-10-31 |
| 1669984324 | City of Sioux City Accounting Division | Ambulance | 601 Douglas St, Sioux City, IA 51101-1200 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST UNION |
| Zip Code | 52175 |
Please comment or provide details below to improve the information on NORTHEAST IOWA MEDICAL TRANSPORT, 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.