Active NPI
City of Tabor
Doing business as Tabor Ambulance Service
- Land Ambulance
- Tabor, IA
National Provider Identifier
1558313668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2360400
- 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, 2025
- 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
- Mary King-Bateman
- Title
- City Clerk
- Phone
- (531) 895-5853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8181992 | Other | UNITED HEALTHCARE | |
| 0069476 | Medicaid | IA | |
| 06947 | Other | IA | BCBS OF IOWA |
Other names 1
- TABOR AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100616000051 | IA | Part B Supplier - Ambulance Service Supplier | 3678603701 | Practice locations: Tabor, IA |
National Provider Directory
National Provider DirectoryNPI 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.