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

Active since December 08, 2006CLIA 16D1061522 · Waiver
309 W. VAN DORN, POLK CITY, IA 50226(515) 984-6304(515) 984-6792 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Polk City Fire Rescue Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLK CITY FIRE RESCUE DEPARTMENT (NPI 1073673463) is a healthcare organization registered as an ambulance in Polk City, Iowa and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Dan A. Gubbins, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1073673463
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCITY OF POLK CITY
Location Address309 W. VAN DORNPolk City, IA 50226-0034
Mailing AddressPo Box 426, 112 3rd StPolk City, IA 50226-0034 · (515) 984-6233 · Fax (515) 984-6792
Phone(515) 984-6304
Fax(515) 984-6792
Organization SubpartYes
Authorized OfficialDan A. GubbinsFire Chief · (515) 984-6304
Enumeration DateDecember 8, 2006
Last NPPES UpdateAugust 29, 2013
✔ NPI 1073673463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in IA · 2771000
Definition
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).
309 W. VAN DORN, Polk City, IA 50226
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Other Names 1

Other NamePolk City Fire Rescue Department

Other Identifiers 2

Medicaid0142760IA
Medicare PINI2049IA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1061522

Polk City Fire Department · Polk City, IA
Active · expires Nov 19, 2026
CLIA Number16D1061522
Laboratory TypeAmbulance
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorKarla Hogrefe
Laboratory Phone(515) 984-6304
Laboratory LocationPolk City Fire Department309 West Van Dorn, Polk City, IA 50226
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
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.
1,125 services59 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
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.
40 services35 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
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.
23 services23 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of Polk City's NPI number?

The NPI number for City Of Polk City is 1073673463. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is also known as Polk City Fire Rescue Department.

Where is City Of Polk City located?

City Of Polk City is located at 309 W. Van Dorn, Polk City, IA 50226. The listed phone number is (515) 984-6304.

What is City Of Polk City's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does City Of Polk City hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1061522) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Of Polk City was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.