MEDICARE: CENTER POINT AMBULANCE SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	2570300	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	03054	OTHER	IA	WELLMARK

General Provider Information

NPI Number	:	1538154323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER POINT AMBULANCE SERVICE INC

Provider Business Mailing Address
First Line	:	PO BOX 202
Second Line	:	521 FRANKLIN STREET
City	:	CENTER POINT
State	:	IA
Zip	:	52213-0202
Country	:	US
Telephone Number	:	319-849-3865
Fax Number	:	319-849-1230

Provider Business Practice Location Address
First Line	:	521 FRANKLIN STREET
Second Line	:
City	:	CENTER POINT
State	:	IA
Zip	:	52213-0202
Country	:	US
Telephone Number	:	319-849-3865
Fax Number	:	319-849-1230

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. MICHAEL J TECHAU
Credential	:
Telephone Number	:	319-849-3865

Provider Enumeration Date	:	09/17/2005
Last Update Date	:	08/26/2010

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