County of Iowa
Organization Active NPI Land Ambulance · Marengo, IA
NPI 1134539760 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1134539760
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 2480500 (IA)
- Legal business name
- COUNTY OF IOWA
- Practice address
- 355 W Lucas St
Marengo, IA 52301-1270 - Phone
- (319) 741-6105
- Fax
- (319) 741-6110
- NPI assigned
- May 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Adam Rabe, PARAMEDIC
- Title
- Director
- Phone
- (319) 741-6105
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0719224 | Iowa County Ambulance | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Iowa County Health Department |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1973 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140929000331 | IA | Part B Supplier - Ambulance Service Supplier | 1153233838 | Practice locations: Marengo, IA; Williamsburg, IA |
National Provider Directory
- Tax ID family
- County of Iowa
Locations
355 W Lucas St
Marengo, IA 52301
Phone (319) 642-8019
970 Court Ave
Marengo, IA 52301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2480500 | IA | Yes |
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
- Iowa County Ambulance Service
Other providers in Marengo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.