Organization Active NPI

County of Johnson

  • Land Ambulance
  • Iowa City, IA
National Provider Identifier
1851370134
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2520300 Issued in IA
Legal business name
COUNTY OF JOHNSON
Practice address
808 S Dubuque St
Iowa City, IA 52240-4204
Phone
(319) 356-6013
Fax
(319) 351-0695
NPI assigned
Jan 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Fiona M. Johnson
Title
Director
Phone
(319) 356-6013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2520300 IA Primary

Addresses

Primary practice location

808 S Dubuque St
Iowa City, IA 52240-4204

Mailing address

808 S Dubuque St
Iowa City, IA 52240-4204
Phone (319) 356-6013

Other identifiers 1

IdentifierTypeStateIssuer
0063354MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000577 IA Part B Supplier - Ambulance Service Supplier 1557402971 Practice locations: Iowa City, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0672789Johnson County Ambulance Service808 South Dubuque Street, Iowa City, IA 52240Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Johnson County Public Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

913 S Dubuque St
Iowa City, IA 52240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1851370134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S DUBUQUE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404204",
            "telephone_number": "319-356-6013",
            "fax_number": "319-351-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S DUBUQUE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404204",
            "telephone_number": "319-356-6013",
            "fax_number": "319-351-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FIONA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-356-6013"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2520300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063354",
            "state": "IA"
        }
    ],
    "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 Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.