Organization Active NPI

Village of Remer

Doing business as Remer Area Ambulance Service

  • Land Ambulance
  • Remer, MN
National Provider Identifier
1003919333
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0206 Issued in MN
Legal business name
VILLAGE OF REMER
Doing business as
Remer Area Ambulance Service
Practice address
106 Spruce St NW
Remer, MN 56672-4300
Phone
(218) 566-4156
NPI assigned
Sep 5, 2006
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Elizabeth Blundell
Title
Clerk
Phone
(218) 566-4156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0206 MN Primary

Addresses

Primary practice location

106 Spruce St NW
Remer, MN 56672-4300

Mailing address

106 Spruce St NW
Remer, MN 56672-4300
Phone (218) 566-4156

Other identifiers 2

IdentifierTypeStateIssuer
411267900MedicaidMN
85288REOtherMNBCBS PROVIDER

Other names 1

  • REMER AREA AMBULANCE SERVICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101222000330 MN Part B Supplier - Ambulance Service Supplier 2668660366 Practice locations: Remer, MN

National Provider Directory

National Provider Directory

Locations

106 Spruce St NW
Remer, MN 56672
Phone (218) 566-4156

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1003919333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SPRUCE ST NW",
            "city": "REMER",
            "state": "MN",
            "postal_code": "566724300",
            "telephone_number": "218-566-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SPRUCE ST NW",
            "city": "REMER",
            "state": "MN",
            "postal_code": "566724300",
            "telephone_number": "218-566-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF REMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-04-17",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BLUNDELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "218-566-4156"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411267900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "85288RE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REMER AREA AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REMER AREA AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Remer, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.