City of Bertha

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF BERTHA

Practice address

127 2ND Ave NW
Bertha, MN 56437

Phone

(218) 924-4454

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Janet E Umland

Title

City Administrator

Phone

(218) 924-4454

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bertha Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1053308494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "address_2": "113 2ND AVE NW",
            "city": "BERTHA",
            "state": "MN",
            "postal_code": "564370065",
            "telephone_number": "218-924-4454",
            "fax_number": "218-924-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 2ND AVE NW",
            "city": "BERTHA",
            "state": "MN",
            "postal_code": "56437",
            "telephone_number": "218-924-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BERTHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "UMLAND",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "218-924-4454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "671267300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "81208BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bertha Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Lynn Anderson, PHARMD
• Astera Health
• Diane M Henry, PA-C
• Shari Lynn Moller
• Seip Drug LLC
• Todd & Otter Tail Cos

• All providers in Bertha, MN
• Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.