City of Carter Lake

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2781000 Issued in IA

Legal business name

CITY OF CARTER LAKE

Practice address

2911 N 9TH St
Carter Lake, IA 51510-1501

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Jan 3, 2006

Organization subpart

No

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

Authorized official

Name

Phillip Newton

Title

Fire & Safety Coordinator

Phone

(531) 895-5853

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• CARTER LAKE RESCUE Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1902884885",
    "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": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 N 9TH ST",
            "city": "CARTER LAKE",
            "state": "IA",
            "postal_code": "515101501",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CARTER LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "FIRE & SAFETY COORDINATOR",
        "authorized_official_telephone_number": "531-895-5853"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2781000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "37769",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "09455",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439927",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025191000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NO",
            "identifier": "P00174799",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARTER LAKE RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Carter Lake, IA
• Providers in Carter Lake, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.