Freeborn Fire & Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0385 Issued in MN

Legal business name

FREEBORN FIRE & AMBULANCE

Practice address

402 Park St
Freeborn, MN 56032-0099

Phone

(507) 863-2204

Fax

(507) 863-2521

NPI assigned

Aug 28, 2007

Last updated

Jul 29, 2008By 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

Valerie Kay Seipp

Title

Secretary Treasurer

Phone

(507) 863-2204

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1235323874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 OAK ST",
            "address_2": "PO BOX 272",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241358",
            "telephone_number": "651-463-3867",
            "fax_number": "651-460-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PARK ST",
            "city": "FREEBORN",
            "state": "MN",
            "postal_code": "560320099",
            "telephone_number": "507-863-2204",
            "fax_number": "507-863-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEBORN FIRE & AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "SEIPP",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "507-863-2204"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176267200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.