Active NPI
City of Knoxville
- Land Ambulance
- Knoxville, IA
National Provider Identifier
1598840613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 26308
- 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, 2020
- 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. Dick Schrad
- Title
- City Manager
- Phone
- (641) 828-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15549 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0155499 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101213000405 | IA | Part B Supplier - Ambulance Service Supplier | 8022205384 | Practice locations: Knoxville, IA |
National Provider Directory
National Provider DirectoryLocations
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
- Care Initiatives (West Ridge Specialty Care)
- Jo Ellen Carroll
- Catholic Health Initiatives-Iowa Corp (Mercy One-Knoxville)
- Chiropractic Center PC
- Michael Harold Christian, RKT, DRS
- Jennifer Jo Clark
- Addison Duane Collard, DPT
- Community Care of Knoxville LLC
- Community Health Services of Marion County
- Community Health Services of Marion County
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.