Active NPI
City of Mabel
Doing business as Mabel Ambulance Service
- Basic Emergency Medical Technician
- Mabel, MN
National Provider Identifier
1114065240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 142
- Legal business name
- CITY OF MABEL
- Doing business as
- Mabel Ambulance Service
- Practice address
- 109 North Elm Street
Mabel, MN 55954-0425 - Phone
- (507) 493-5299
- Fax
- (507) 493-3299
- NPI assigned
- Feb 1, 2007
- Last updated
- Jun 9, 2023
- Organization subpart
- Yes
- Parent organization
- CITY OF MABEL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Larson
- Title
- City Clerk/Treasurer
- Phone
- (507) 493-5299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 142 | MN | Primary |
Addresses
Primary practice location
109 North Elm Street
Mabel, MN 55954-0425
Mailing address
201 South Main Street
P.O. Box 425
Mabel, MN 55954-0425
Phone (507) 493-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102067600 | Medicaid | MN |
Other names 1
- Mabel Ambulance Service
National Provider Directory
National Provider Directory- Part of
- City of Mabel
Locations
109 N Elm St
Mabel, MN 55954
Phone (507) 493-5299
201 Main St S
Mabel, MN 55954
Phone (507) 493-5115
207 N Main St
Mabel, MN 55954
Phone (507) 493-5299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686268800000",
"number": "1114065240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SOUTH MAIN STREET",
"address_2": "P.O. BOX 425",
"city": "MABEL",
"state": "MN",
"postal_code": "559540425",
"telephone_number": "507-493-5299",
"fax_number": "507-493-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 NORTH ELM STREET",
"city": "MABEL",
"state": "MN",
"postal_code": "559540425",
"telephone_number": "507-493-5299",
"fax_number": "507-493-3299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MABEL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF MABEL",
"enumeration_date": "2007-02-01",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "CITY CLERK/TREASURER",
"authorized_official_telephone_number": "507-493-5299"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "MN",
"license": "142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102067600",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mabel Ambulance Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mabel Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mabel, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.