City of Wabasso

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0253 Issued in MN

Legal business name

CITY OF WABASSO

Practice address

1225 Oak St
Wabasso, MN 56293-0060

Phone

(507) 342-5519

Fax

(507) 342-2213

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary K. Smith

Title

City Clerktreasurer

Phone

(507) 342-5519

Specialties & licenses 1

Addresses

Other names 1

• Wabasso Ambulance Association 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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073634291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 OAK ST",
            "address_2": "P O BOX 60",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "562930060",
            "telephone_number": "507-342-5519",
            "fax_number": "507-342-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 OAK ST",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "562930060",
            "telephone_number": "507-342-5519",
            "fax_number": "507-342-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WABASSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CITY CLERKTREASURER",
        "authorized_official_telephone_number": "507-342-5519"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabasso Ambulance Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Atkins
• Elizabeth Hirsch
• Independent School District 640
• Maple Health and Rehab LLC (Maple Health and Rehab)
• Prairie Chiropractic
• Redwood Wabasso Holdings LLC (Wabasso Restorative Care Center)

• Land Ambulance in Wabasso, MN
• Providers in Wabasso, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.