Organization Active NPI

City of Hoffman

Doing business as Hoffman Volunteer Ambulance Service

  • Ambulance
  • Hoffman, MN
National Provider Identifier
1114186988
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF HOFFMAN
Doing business as
Hoffman Volunteer Ambulance Service
Practice address
127 Main Ave
Hoffman, MN 56339-0227
Phone
(320) 986-2448
Fax
(320) 986-6634
NPI assigned
Jun 5, 2008
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dennis Satre
Title
Mayor
Phone
(320) 986-2448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

127 Main Ave
Hoffman, MN 56339-0227

Mailing address

PO Box 227
127 Main Ave
Hoffman, MN 56339-0227
Phone (320) 986-2448

Other identifiers 3

IdentifierTypeStateIssuer
A334767200MedicaidMN
61198HDOtherBCBS OF MINNESOTA
030722056OtherMNPRIMEWEST HEALTH SYSTEM

Other names 1

  • HOFFMAN VOLUNTEER AMBULANCE SERVICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000841 MN Part B Supplier - Ambulance Service Supplier 6608036785 Practice locations: Hoffman, MN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1114186988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "address_2": "127 MAIN AVE",
            "city": "HOFFMAN",
            "state": "MN",
            "postal_code": "563390227",
            "telephone_number": "320-986-2448",
            "fax_number": "320-986-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN AVE",
            "city": "HOFFMAN",
            "state": "MN",
            "postal_code": "563390227",
            "telephone_number": "320-986-2448",
            "fax_number": "320-986-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HOFFMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "SATRE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "320-986-2448"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A334767200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "61198HD",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST HEALTH SYSTEM",
            "identifier": "030722056",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOFFMAN VOLUNTEER AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoffman, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.