NPIMap

Organization Active NPI

City of Kiester

  • Land Ambulance
  • Kiester, MN
National Provider Identifier
1104351162
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF KIESTER
Practice address
116 N Main Street
Kiester, MN 56051
Phone
(507) 294-3161
Fax
(507) 294-3960
NPI assigned
Apr 27, 2017
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Doris Marie Troll
Title
Clerk
Phone
(507) 294-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

116 N Main Street
Kiester, MN 56051

Mailing address

PO Box 276
116 N Main Street
Kiester, MN 56051
Phone (507) 294-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170515002052 MN Part B Supplier - Ambulance Service Supplier 8224088299 Practice locations: Kiester, MN

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1104351162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "address_2": "116 N MAIN STREET",
            "city": "KIESTER",
            "state": "MN",
            "postal_code": "56051",
            "telephone_number": "507-294-3161",
            "fax_number": "507-294-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN STREET",
            "city": "KIESTER",
            "state": "MN",
            "postal_code": "56051",
            "telephone_number": "507-294-3161",
            "fax_number": "507-294-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KIESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "TROLL",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "507-294-3161"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kiester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.