Organization Active NPI

City of Indianola

  • Land Ambulance
  • Indianola, IA
National Provider Identifier
1619947199
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2910700 Issued in IA
Legal business name
CITY OF INDIANOLA
Practice address
110 North 1St St.
Indianola, IA 50125
Phone
(515) 961-9405
Fax
(515) 962-0108
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Aaron Douglas Hurt
Title
Chief
Phone
(515) 962-5257

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 29107 IA
Land Ambulance 3416L0300X 2910700 IA Primary

Addresses

Primary practice location

110 North 1St St.
Indianola, IA 50125

Mailing address

PO Box 299
110 N First
Indianola, IA 50125-0299
Phone (515) 961-9405

Other identifiers 1

IdentifierTypeStateIssuer
0235945MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000404 IA Part B Supplier - Ambulance Service Supplier 4486620648 Practice locations: Indianola, IA

National Provider Directory

National Provider Directory

Locations

110 N 1st St
Indianola, IA 50125
Phone (515) 961-9405

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1619947199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "address_2": "110 N FIRST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501250299",
            "telephone_number": "515-961-9405",
            "fax_number": "515-962-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORTH 1ST ST.",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "50125",
            "telephone_number": "515-961-9405",
            "fax_number": "515-962-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF INDIANOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "515-962-5257"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "29107",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2910700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235945",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.