City of Cloquet

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0053 Issued in MN

Legal business name

CITY OF CLOQUET

Doing business as

Cloquet Ambulance Service

Practice address

508 Cloquet Ave
Cloquet, MN 55720-3742

Phone

(218) 879-6514

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Fritsinger

Title

City Administrator

Phone

(218) 879-3347

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Cloquet Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194859124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201656",
            "telephone_number": "218-879-3347",
            "fax_number": "218-879-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557203742",
            "telephone_number": "218-879-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CLOQUET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRITSINGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "218-879-3347"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "120910",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLAN",
            "identifier": "75095CL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8180850",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "75095CL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloquet Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Michelle Carlson, MD
• Carlton Co Public Health & Human Services
• Beth Ann Caven, CNP
• Centuries Health LLC
• Marguerite M Chiovitti Podgorsek, DDS
• Sarah Elizabeth Class, RN, CDCES
• Cloquet Area Fire District
• Cloquet Connect LLC
• Cloquet Eyecare and Contact Lens Center
• Cloquet Isd 94

• Land Ambulance in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Land Ambulance in Minnesota

• 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.