TOWN OF GLADBROOK (NPI# 1477535870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477535870 |
| Entity Type | Organization |
| Organization Name | TOWN OF GLADBROOK |
| Other Organization Name | GLADBROOK-LINCOLN AMBULANCE SERVICE |
| Practice Address |
1254 Hwy 96 Gladbrook IA 50635 |
| Mailing Address |
Po Box 309 Gladbrook IA 50635 |
| Practice Telephone | 6414732281 |
| Practice Fax Number | 6414732281 |
| Mailing Telephone | 6414732281 |
| Mailing Fax Number | 5414732281 |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | RYAN SUTCLIFFE (PRESIDENT) |
| Authorized Official Telephone | 6414732281 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
8604 | IA | Transportation Services |
| Other Name | Type Code |
|---|---|
| Gladbrook-Lincoln Ambulance Service | Doing Business As Name - Organization |
| Street Address |
1254 HWY 96 |
| City | GLADBROOK |
| State | IA |
| Zip Code | 50635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912949124 | Gregory E. Randolph | Physician Assistant | 309 2nd St, Gladbrook, IA 50635 | 2006-06-12 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1447334487 | Crystal Inc | Skilled Nursing Facility | 605 Garfield St, Gladbrook, IA 50635-9324 | 2006-10-25 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 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.