Organization Active NPI

City of New Prague

Doing business as New Prague Ambulance

  • Ambulance
  • New Prague, MN
National Provider Identifier
1245302371
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0174 Issued in MN
Legal business name
CITY OF NEW PRAGUE
Doing business as
New Prague Ambulance
Practice address
118 Central Ave N
New Prague, MN 56071-1534
Phone
(952) 758-4401
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Jerry Bohnsack
Title
City Administrator
Phone
(952) 758-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0174 MN Primary

Addresses

Primary practice location

118 Central Ave N
New Prague, MN 56071-1534

Mailing address

3920 13TH Ave E
Suite 6
Hibbing, MN 55746-3675
Phone (218) 263-7540

Other identifiers 1

IdentifierTypeStateIssuer
51300CIOtherMNBCBS

Other names 1

  • NEW PRAGUE AMBULANCE Doing business as

National Provider Directory

National Provider Directory

Locations

118 Central Ave N
New Prague, MN 56071
Phone (952) 758-4401

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1245302371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 13TH AVE E",
            "address_2": "SUITE 6",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463675",
            "telephone_number": "218-263-7540",
            "fax_number": "866-732-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CENTRAL AVE N",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711534",
            "telephone_number": "952-758-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW PRAGUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "BOHNSACK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "952-758-4401"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51300CI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW PRAGUE AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Prague, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.