Organization Active NPI

City of Hartley

  • Land Ambulance
  • Hartley, IA
National Provider Identifier
1710069315
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF HARTLEY
Practice address
50 1St St NE
Hartley, IA 51346-1108
Phone
(877) 218-4392
Fax
(877) 343-0131
NPI assigned
Oct 20, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mrs. Crystal Van Ravenswaay
Title
Access Manager
Phone
(531) 895-5853

Specialties & licenses 2

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

Addresses

Primary practice location

50 1St St NE
Hartley, IA 51346-1108

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (531) 895-5853

Other identifiers 1

IdentifierTypeStateIssuer
0128397MedicaidIA

Other names 1

  • HEART Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120305000596 IA Part B Supplier - Ambulance Service Supplier 5496914848 Practice locations: Hartley, IA

National Provider Directory

National Provider Directory

Locations

11 S Central Ave
Hartley, IA 51346

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1710069315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 1ST ST NE",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513461108",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HARTLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "VAN RAVENSWAAY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "531-895-5853",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128397",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEART",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.