Organization Active NPI

City of Knoxville

  • Land Ambulance
  • Knoxville, IA
National Provider Identifier
1598840613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
26308 Issued in IA
Legal business name
CITY OF KNOXVILLE
Practice address
305 S 3Rd St
Knoxville, IA 50138-2255
Phone
(641) 828-0550
Fax
(641) 828-0555
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dick Schrad
Title
City Manager
Phone
(641) 828-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 26308 IA Primary

Addresses

Primary practice location

305 S 3Rd St
Knoxville, IA 50138-2255

Mailing address

305 S 3Rd St
Knoxville, IA 50138-2255
Phone (641) 828-0550

Other identifiers 2

IdentifierTypeStateIssuer
15549OtherIABLUE CROSS BLUE SHIELD
0155499MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101213000405 IA Part B Supplier - Ambulance Service Supplier 8022205384 Practice locations: Knoxville, IA

National Provider Directory

National Provider Directory

Locations

305 S 3rd St
Knoxville, IA 50138
Phone (641) 828-0550

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598840613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S 3RD ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382255",
            "telephone_number": "641-828-0550",
            "fax_number": "641-828-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S 3RD ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382255",
            "telephone_number": "641-828-0550",
            "fax_number": "641-828-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KNOXVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHRAD",
        "authorized_official_first_name": "DICK",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "641-828-0550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "26308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15549",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155499",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.