City of Eveleth
Organization Active NPI Ambulance · Eveleth, MN
NPI 1063427854 · NPPES record last updated Apr 18, 2008
Key facts
- NPI
- 1063427854
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- CITY OF EVELETH
- Practice address
- 413 Pierce St
Eveleth, MN 55734-1538 - Phone
- (218) 744-7444
- Fax
- (218) 742-9627
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Calvin Cossalter
- Title
- Mayor
- Phone
- (218) 744-7444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050412000531 | MN | Part B Supplier - Ambulance Service Supplier | 8921045956 | Practice locations: Eveleth, MN |
National Provider Directory
Locations
413 Pierce St
Eveleth, MN 55734
Phone (218) 744-2501
425 Jackson St
Eveleth, MN 55734
Phone (218) 744-5770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
413 Pierce St
Eveleth, MN 55734-1538
Mailing address
3920 13TH Ave E
Suite 6
Hibbing, MN 55746-3675
Phone (218) 263-7540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71082EV | Other | MN | BCBS |
Other names
- Eveleth Ambulance Service
Other providers in Eveleth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.