Organization Active NPI

Care Ambulance, LLC

  • Ambulance
  • Iowa City, IA
National Provider Identifier
1720473812
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2920600 Issued in IA
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20150717002591 IA Part B Supplier - Ambulance Service Supplier 8628381712 Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.