City of Morgan

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0169 Issued in MN

Legal business name

CITY OF MORGAN

Practice address

119 Vernon Avenue
Morgan, MN 56266-0027

Phone

(507) 249-3455

Fax

(507) 249-3839

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John L. Kleinschmidt

Title

City Clerk-Treasurer

Phone

(507) 249-3455

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Morgan Fire Dept and Ambulance Service Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1043211469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VERNON AVENUE",
            "address_2": "PO BOX 27",
            "city": "MORGAN",
            "state": "MN",
            "postal_code": "562660027",
            "telephone_number": "507-249-3455",
            "fax_number": "507-249-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VERNON AVENUE",
            "city": "MORGAN",
            "state": "MN",
            "postal_code": "562660027",
            "telephone_number": "507-249-3455",
            "fax_number": "507-249-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MORGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "KLEINSCHMIDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CITY CLERK-TREASURER",
        "authorized_official_telephone_number": "507-249-3455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "47186MO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810867600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morgan Fire Dept and Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ambulance in Morgan, MN
• Providers in Morgan, MN by specialty
• Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.