Active NPI
Care Ambulance, LLC
- Ambulance
- Iowa City, IA
National Provider Identifier
1720473812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 2920600
- Legal business name
- CARE AMBULANCE, LLC
- Practice address
- 1801 S. Riverside
Iowa City, IA 52246-5704 - Phone
- (319) 512-8811
- Fax
- (319) 338-7160
- NPI assigned
- Apr 6, 2015
- Last updated
- Oct 17, 2022
- 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
- Robert Libby, CCP
- Title
- President/Owner
- Phone
- (319) 330-3655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2920600 | IA | Primary |
Addresses
Primary practice location
1801 S. Riverside
Iowa City, IA 52246-5704
Mailing address
PO Box 261
Iowa City, IA 52244
Phone (319) 248-5507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150717002591 | IA | Part B Supplier - Ambulance Service Supplier | 8628381712 | Practice locations: Iowa City, IA |
National Provider Directory
National Provider DirectoryLocations
300 N 16th St
Ste 300
Fairfield, IA 52556
Phone (319) 512-8811
150 Fletcher Ave
Waterloo, IA 50701
Phone (319) 512-8811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Agency
- Mt Pleasant, IA
- NPI 1033717988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1720473812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52244",
"telephone_number": "319-248-5507",
"fax_number": "319-338-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S. RIVERSIDE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522465704",
"telephone_number": "319-512-8811",
"fax_number": "319-338-7160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE AMBULANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-06",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "LIBBY",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "319-330-3655",
"authorized_official_credential": "CCP"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IA",
"license": "2920600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.