Active NPI
City of Hartley
- Land Ambulance
- Hartley, IA
National Provider Identifier
1710069315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2025
- 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
- Mrs. Crystal Van Ravenswaay
- Title
- Access Manager
- Phone
- (531) 895-5853
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0128397 | Medicaid | IA |
Other names 1
- HEART
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120305000596 | IA | Part B Supplier - Ambulance Service Supplier | 5496914848 | Practice locations: Hartley, IA |
National Provider Directory
National Provider DirectoryLocations
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
- Baum Harmon Mercy Hospital (MercyOne Hartley Family Medicine)
- Community Memorial Health Center (Hartley Senior Wellness Center)
- Community Memorial Health Center (Community Memorial Assisted Living)
- Community Memorial Healthcenter Association (Community Memorial Health Center)
- Elizabeth Todd, Cleaning and Consulting
- Gary C Van Hofwegen DDS PC (VanHofwegen Family Dentistry)
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.