City of Warroad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0259 Issued in MN

Legal business name

CITY OF WARROAD

Doing business as

Warroad Area Rescue Unit

Practice address

802 Cherne Drive NW
Warroad, MN 56763

Phone

(218) 233-5658

NPI assigned

Dec 11, 2006

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

Joy Bukoweic

Title

Ambulance Director

Phone

(218) 386-1161

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Warroad Area Rescue Unit Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093875825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565610364",
            "telephone_number": "218-233-5658",
            "fax_number": "218-233-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CHERNE DRIVE NW",
            "city": "WARROAD",
            "state": "MN",
            "postal_code": "56763",
            "telephone_number": "218-233-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WARROAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUKOWEIC",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "218-386-1161"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "1748",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85287WA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warroad Area Rescue Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Baumgartner, DPT
• Stephanie Marie Baumgartner
• Benjamin Thomas Bleess
• Michelle A Brown, NP-C
• Chiropractic Sport & Spinal Rehab PA (Northern Chiropractic Pain Relief & Injury Clinic)
• Dennis J Thomson, Inc. (Thomson Snyder Drug)
• Deborah J Erickson, MD
• James Edward Erickson, MD
• Lyle Richard Erickson, D.C.
• Healthstat Onsite Clinic-Marvin Companies

• Land Ambulance in Warroad, MN
• Providers in Warroad, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.