❄️ Official Rankings
10 Best HVAC in Altoona, IA (September 2026)
We compared 10 hvac serving Altoona and Polk County, Iowa, and ranked the top providers by verified reviews, ratings, and local reputation — 681 customer reviews in all.
The 10 listed below hold an average rating of 5.0 out of 5, led by Next Level Install, LLC. Updated for September 2026.
- HVAC ranked
- 10
- Average rating
- 5.0★
- Reviews analyzed
- 681
- Area code
- 515
#1
#2
Anthem Heating & Cooling Inc.
⭐ 5.0 · 118 reviews
2151 Shiloh Rose Pkwy SW Ste 205, Bondurant, IA 50035
#3
GEM Heating and Cooling
⭐ 5.0 · 78 reviews
1016 Michael St SE, Bondurant, IA 50035
#4
Advanced Plumbing
⭐ 4.9 · 200 reviews
5604 NE 12th Ave, Pleasant Hill, IA 50317
#5
Precision Comfort Heating and Cooling
⭐ 5.0 · 42 reviews
1305 1st Ave N, Altoona, IA 50009
#6
#7
#8
#9
Iowa Duct Defense
⭐ 5.0 · 5 reviews
4175 NE 43rd Ct C, Des Moines, IA 50317
#10
HVAC listed here serve Altoona, Polk County, and nearby ZIP codes including 50009.