Organization Active NPI

County of Iowa

Doing business as Iowa County Ambulance Service

  • Land Ambulance
  • Marengo, IA
National Provider Identifier
1134539760
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2480500 Issued in IA
Legal business name
COUNTY OF IOWA
Doing business as
Iowa County Ambulance Service
Practice address
355 W Lucas St
Marengo, IA 52301-1270
Phone
(319) 741-6105
Fax
(319) 741-6110
NPI assigned
May 5, 2014
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adam Rabe, PARAMEDIC
Title
Director
Phone
(319) 741-6105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2480500 IA Primary

Addresses

Primary practice location

355 W Lucas St
Marengo, IA 52301-1270

Mailing address

355 W Lucas St
Marengo, IA 52301-1270
Phone (319) 741-6105

Other names 1

  • Iowa County Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140929000331 IA Part B Supplier - Ambulance Service Supplier 1153233838 Practice locations: Marengo, IA; Williamsburg, IA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0719224Iowa County Ambulance355 W Lucas Street, Marengo, IA 52301Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Iowa4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

355 W Lucas St
Marengo, IA 52301
Phone (319) 642-8019

970 Court Ave
Marengo, IA 52301

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Iowa County Health DepartmentMarengo, IA, CCN 167079 Home health agency 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1973

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1134539760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W LUCAS ST",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011270",
            "telephone_number": "319-741-6105",
            "fax_number": "319-741-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W LUCAS ST",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011270",
            "telephone_number": "319-741-6105",
            "fax_number": "319-741-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "RABE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-741-6105",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2480500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iowa County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marengo, IA

Sources for this page

Verify at the official NPI Registry.