Organization Active NPI

Floodwood Area Emergency Medical Serv District

  • Land Ambulance
  • Floodwood, MN
National Provider Identifier
1124322250
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120305000061 MN Part B Supplier - Ambulance Service Supplier 5395904783 Practice locations: Floodwood, 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": "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

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.

Verify at the official NPI Registry.