Organization Active NPI

City of Tabor

Doing business as Tabor Ambulance Service

  • Land Ambulance
  • Tabor, IA
National Provider Identifier
1558313668
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2360400 Issued in IA
Legal business name
CITY OF TABOR
Doing business as
Tabor Ambulance Service
Practice address
900 Main St
Tabor, IA 51653-2105
Phone
(712) 629-2295
Fax
(712) 629-1019
NPI assigned
May 17, 2006
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Mary King-Bateman
Title
City Clerk
Phone
(531) 895-5853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2360400 IA Primary

Addresses

Primary practice location

900 Main St
Tabor, IA 51653-2105

Mailing address

PO Box 309
Tabor, IA 51653-0309
Phone (712) 629-2295

Other identifiers 3

IdentifierTypeStateIssuer
8181992OtherUNITED HEALTHCARE
0069476MedicaidIA
06947OtherIABCBS OF IOWA

Other names 1

  • TABOR 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
O20100616000051 IA Part B Supplier - Ambulance Service Supplier 3678603701 Practice locations: Tabor, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1558313668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "516530309",
            "telephone_number": "712-629-2295",
            "fax_number": "712-629-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "516532105",
            "telephone_number": "712-629-2295",
            "fax_number": "712-629-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF TABOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "KING-BATEMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "531-895-5853"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2360400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8181992",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069476",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IOWA",
            "identifier": "06947",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TABOR AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tabor, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.