City of Lewiston

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0135 Issued in MN

Legal business name

CITY OF LEWISTON

Practice address

75 Rice Street
Lewiston, MN 55952

Phone

(507) 523-2257

Fax

(507) 523-2306

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Lee Essig

Title

Ambulance Director

Phone

(507) 523-2982

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Lewiston Volunteer Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1154411205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "LEWISTON",
            "state": "MN",
            "postal_code": "559520722",
            "telephone_number": "507-523-2257",
            "fax_number": "507-523-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RICE STREET",
            "city": "LEWISTON",
            "state": "MN",
            "postal_code": "55952",
            "telephone_number": "507-523-2257",
            "fax_number": "507-523-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LEWISTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "ESSIG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "507-523-2982"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38250LE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773267800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSI",
            "identifier": "81380",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8182873",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590013759",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "170133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewiston Volunteer Ambulance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lewiston Volunteer Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deloughery Home Limited Partnership
• Carrie Lee Elliott-Plank, RN
• Michael Thomas Flynn, D.D.S.
• Mickel Frisch
• Lewiston Dental Care

• All providers in Lewiston, MN
• Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.