Organization Active NPI

City of Mabel

Doing business as Mabel Ambulance Service

  • Basic Emergency Medical Technician
  • Mabel, MN
National Provider Identifier
1114065240
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
142 Issued in MN
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF MABELAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102067600MedicaidMN

Other names 1

  • Mabel Ambulance Service Doing business as

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.

Verify at the official NPI Registry.