City of New Hartford
Organization Active NPI Land Ambulance · New Hartford, IA
NPI 1629136304 · NPPES record last updated Jul 15, 2020
Key facts
- NPI
- 1629136304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 2120400 (IA)
- Legal business name
- CITY OF NEW HARTFORD
- Practice address
- 308 Packwaukee St
New Hartford, IA 50660-7725 - Phone
- (319) 983-2548
- Fax
- (717) 635-6176
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Shawna Hagen
- Title
- City Clerk
- Phone
- (319) 983-2548
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130624000596 | IA | Part B Supplier - Ambulance Service Supplier | 6204075294 | Practice locations: New Hartford, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2120400 | IA | Yes |
Addresses
Primary practice location
308 Packwaukee St
New Hartford, IA 50660-7725
Mailing address
PO Box 212
New Hartford, IA 50660-0212
Phone (319) 983-2548
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006007 | Medicaid | IA |
Other names
- CITY OF NEW HARTFORD AMBULANCE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.