City of Howard Lake

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0111 Issued in MN

Legal business name

CITY OF HOWARD LAKE

Doing business as

Howard Lake Ambulance Service

Practice address

835 7TH St
Howard Lake, MN 55349-0309

Phone

(320) 543-2001

NPI assigned

Sep 20, 2006

Last updated

Apr 2, 2019By 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

Karen Drusch

Title

Office Manager

Phone

(320) 543-2001

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Howard Lake Ambulance Service Doing business as

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1114025848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "HOWARD LAKE",
            "state": "MN",
            "postal_code": "553490309",
            "telephone_number": "320-543-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 7TH ST",
            "city": "HOWARD LAKE",
            "state": "MN",
            "postal_code": "553490309",
            "telephone_number": "320-543-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HOWARD LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "DRUSCH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-543-2001"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57147HO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "842767400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "81-80704",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1021786",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Lake Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Howard Lake Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Lynne Boll, CNP
• Kelly Bonde
• Craig Butturff, MSPT
• Jennifer Leigh Butturff, D.C.
• James E. Carrabre, MD
• Community Asset Foundation, LLC (The Lodge of Howard Lake)
• Amber Paulina Crawford
• Matthew Devinney, DC
• Distinctive Dental Services, PA (Howard Lake Dental)
• Encourage Counseling Services LLC

• Land Ambulance in Howard Lake, MN
• Providers in Howard Lake, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.