POLK CITY FIRE RESCUE DEPARTMENT
NPI 1073673463
Ambulance in Polk City, IA

NPI Status: Active since December 08, 2006

Contact Information

309 W. VAN DORN
POLK CITY, IA
ZIP 50226
Phone: (515) 984-6304
Fax: (515) 984-6792

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  • Organization
  • Ambulance
  • CLIA Number: 16D1061522
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 11-19-2026

About POLK CITY FIRE RESCUE DEPARTMENT

This page provides the complete NPI Profile along with additional information for Polk City Fire Rescue Department, a provider established in Polk City, Iowa operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1073673463 assigned on December 2006. The practitioner's primary taxonomy code is 341600000X with license number 2771000 (IA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Polk City Fire Rescue Department. The authorized official of this NPI record is Dan A. Gubbins (Fire Chief)

NPI
1073673463
Provider Legal Name
CITY OF POLK CITY
Other Organization Name
POLK CITY FIRE RESCUE DEPARTMENT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
309 W. VAN DORN POLK CITY, IA 50226
Location Phone
(515) 984-6304
Location Fax
(515) 984-6792
Mailing Address
PO BOX 426 112 3RD ST POLK CITY, IA 50226
Mailing Phone
(515) 984-6233
Mailing Fax
(515) 984-6792
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-08-2006
Last Update Date
08-29-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance

Taxonomy Code
341600000X
Type
Transportation Services
License No.
2771000
License State
IA
Taxonomy Description
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1341600000XTransportation Services

Ambulance

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAN A. GUBBINS

Authorized Official Title
FIRE CHIEF
Authorized Official Phone
(515) 984-6304

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0142760MEDICAID (05)IA 
I2049MEDICARE PIN (08)IA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

This service was performed 28 times for 25 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

This service was performed 14 times for 13 patients

Ground mileage, per statute mile

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

This service was performed 748 times for 36 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D1061522
Facility Type
Ambulance
Certificate Effective Date
November 20, 2024
Certificate Expiration Date
November 19, 2026
Laboratory Director
KARLA HOGREFE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Polk City Fire Rescue Department to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073673463, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 7 + 6 + 4 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073673463.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073673463, enumerated as an "organization" on December 08, 2006.

The provider is located at 309 W. VAN DORN POLK CITY, IA 50226 and the phone number is (515) 984-6304.

Ambulance with taxonomy code 341600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.