NPIMap

Organization Active NPI

Perham Area EMS

  • Land Ambulance
  • Perham, MN
National Provider Identifier
1245581552
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0194 Issued in MN
Legal business name
PERHAM AREA EMS
Practice address
525 W Main St
Perham, MN 56573-1457
Phone
(218) 346-4440
Fax
(218) 346-9795
NPI assigned
Sep 26, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Douglas Nels Harthan
Title
Director of EMS
Phone
(218) 346-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0194 MN Primary

Addresses

Primary practice location

525 W Main St
Perham, MN 56573-1457

Mailing address

525 W Main St
Perham, MN 56573-1457
Phone (218) 346-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241023001521 MN Part B Supplier - Ambulance Service Supplier 9739334814 Practice locations: Perham, MN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1245581552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731457",
            "telephone_number": "218-346-4440",
            "fax_number": "218-346-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731457",
            "telephone_number": "218-346-4440",
            "fax_number": "218-346-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERHAM AREA EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "HARTHAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "NELS",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "218-346-4440"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perham, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.