Organization Active NPI

Clara City Ambulance Service

  • Ambulance
  • Clara City, MN
National Provider Identifier
1144285610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0050 Issued in MN
Legal business name
CLARA CITY AMBULANCE SERVICE
Practice address
215 NW 1St Street
Clara City, MN 56222-0560
Phone
(320) 847-2140
Fax
(320) 847-2114
NPI assigned
Apr 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judy Gosseling
Title
Sr. Accting Clerk
Phone
(320) 847-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0050 MN Primary

Addresses

Primary practice location

215 NW 1St Street
Clara City, MN 56222-0560

Mailing address

PO Box 560
215 NW 1St Street
Clara City, MN 56222-0560
Phone (320) 847-2140

Other identifiers 1

IdentifierTypeStateIssuer
45774CLOtherMNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144285610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "address_2": "215 NW 1ST STREET",
            "city": "CLARA CITY",
            "state": "MN",
            "postal_code": "562220560",
            "telephone_number": "320-847-2140",
            "fax_number": "320-847-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NW 1ST STREET",
            "city": "CLARA CITY",
            "state": "MN",
            "postal_code": "562220560",
            "telephone_number": "320-847-2140",
            "fax_number": "320-847-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA CITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSSELING",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "SR. ACCTING CLERK",
        "authorized_official_telephone_number": "320-847-2140"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "45774CL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clara City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.