City of Tripoli
Organization Active NPI Ambulance · Tripoli, IA
NPI 1801964101 · NPPES record last updated Mar 4, 2010
Key facts
- NPI
- 1801964101
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 2090100 (IA)
- Legal business name
- CITY OF TRIPOLI
- Practice address
- 101 2ND St. SE
Tripoli, IA 50676 - Phone
- (319) 882-4801
- Fax
- (319) 882-3334
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Steve C Hill, EMT
- Title
- Crew Chief
- Phone
- (319) 882-4801
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0972917 | Tripoli Ambulance Service | Certificate of waiver | Apr 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100407000041 | IA | Part B Supplier - Ambulance Service Supplier | 1759417363 | Practice locations: Tripoli, IA |
National Provider Directory
Locations
101 2nd St SE
Tripoli, IA 50676
Phone (319) 882-4801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2090100 | IA | Yes |
Addresses
Primary practice location
101 2ND St. SE
Tripoli, IA 50676
Mailing address
PO Box 11
Tripoli, IA 50676-0011
Phone (319) 882-4801
Other names
- Tripoli Ambulance Service
Other providers in Tripoli, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2010. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.