Active NPI
Robert Libby
- Land Ambulance
- Iowa City, IA
National Provider Identifier
1487780680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2920600
- Legal business name
- ROBERT LIBBY
- Practice address
- 1801 S Riverside Dr
Iowa City, IA 52246-5704 - Phone
- (319) 248-5507
- NPI assigned
- Feb 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert D Libby
- Title
- Owner
- Phone
- (319) 248-5507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2920600 | IA | Primary |
Addresses
Primary practice location
1801 S Riverside Dr
Iowa City, IA 52246-5704
Mailing address
PO Box 261
Iowa City, IA 52244-0261
Phone (319) 248-5507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37301 | Other | IA | WELLMARK |
Other names 1
- Care Ambulance
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1487780680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522440261",
"telephone_number": "319-248-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S RIVERSIDE DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522465704",
"telephone_number": "319-248-5507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT LIBBY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-24",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "LIBBY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-248-5507",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2920600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "37301",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.