BOONE COUNTY HOSPITAL — NPI 1942385679 (Licensed & Credentialed Emergency Medical Technician, Intermediate in BOONE, IA)

CMS-1500 Box 24J / 33a • NPI

1942385679

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

146M00000X

Licensed & Credentialed Emergency Medical Technician, Intermediate

Box 32 Service Location & ZIP+4

1015 UNION ST, BOONE, IA, 50036-4821

✓ 9-Digit EDI 837 ZIP+4 (50036-4821)

Practice Phone & Referral Fax

(515) 432-3140

Fax: (515) 433-8905

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1942385679 (BOONE COUNTY HOSPITAL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1942385679` (NPI-2 Organization / Facility)
Provider / Legal Name	BOONE COUNTY HOSPITAL
Plain-English Specialty	Licensed & Credentialed Emergency Medical Technician, Intermediate NUCC Code: `146M00000X` (Emergency Medical Technician, Intermediate)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1015 UNION ST, BOONE, IA, 50036-4821
Practice Telephone / Fax	Tel: (515) 432-3140 \| Fax: (515) 433-8905
Administrative Mailing Address	1015 UNION ST, BOONE, IA, 50036-4821
Enumeration & Last Sync	Enumerated: 2006-10-25 \| CMS Record Updated: 2023-03-09
Authorized Official	MIKAELA KIENITZ (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1015 UNION ST, BOONE, IA, 50036-4821

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Plain-English Taxonomy & CMS Crosswalk (146M00000X)

What Does Taxonomy Code 146M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 146M00000X translates to:
"Licensed & Credentialed Emergency Medical Technician, Intermediate"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Emergency Medical Technician, Intermediate for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BOONE COUNTY HOSPITAL)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`146M00000X` — Emergency Medical Technician, Intermediate Plain English: Licensed & Credentialed Emergency Medical Technician, Intermediate	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BOONE COUNTY HOSPITAL (NPI #1942385679)