Active NPI
Floodwood Area Emergency Medical Serv District
- Land Ambulance
- Floodwood, MN
National Provider Identifier
1124322250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- FLOODWOOD AREA EMERGENCY MEDICAL SERV DISTRICT
- Practice address
- 702 Fir St
Floodwood, MN 55736-5004 - Phone
- (218) 476-2235
- NPI assigned
- Jan 4, 2011
- Last updated
- Jun 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Kathryn Manner
- Title
- Assistant Director
- Phone
- (218) 606-7414
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
702 Fir St
Floodwood, MN 55736-5004
Mailing address
PO Box 24
Floodwood, MN 55736-0024
Phone (218) 461-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120305000061 | MN | Part B Supplier - Ambulance Service Supplier | 5395904783 | Practice locations: Floodwood, MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1124322250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24",
"city": "FLOODWOOD",
"state": "MN",
"postal_code": "557360024",
"telephone_number": "218-461-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 FIR ST",
"city": "FLOODWOOD",
"state": "MN",
"postal_code": "557365004",
"telephone_number": "218-476-2235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOODWOOD AREA EMERGENCY MEDICAL SERV DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-04",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "MANNER",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "KATHRYN",
"authorized_official_title_or_position": "ASSISTANT DIRECTOR",
"authorized_official_telephone_number": "218-606-7414"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floodwood, MN
- Cook Area Health Services, Inc (Scenic Rivers Health Services)
- Cook Area Health Services, Inc (Scenic Rivers Health Services)
- Kristen Dombovy, DNP
- Amber Irene Erickson, MD
- Floodwood Area Emergency Medical (Floodwood Ambulance Service)
- Floodwood Services & Training, Inc.
- Joseph Adam Gregorich, DDS
- Brenda Jean Hansen
- Terani Rose Harris, RDH, DT, ADT
- Ind School Dist 698
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.