Organization Active NPI

City of Blooming Prairie

  • Land Ambulance
  • Blooming Prairie, MN
National Provider Identifier
1255470332
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF BLOOMING PRAIRIE
Practice address
501 4TH Street SE
Blooming Prairie, MN 55917-1371
Phone
(507) 583-7573
Fax
(507) 583-4520
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Terri Sue Zwiener
Title
Deputy City Clerk
Phone
(507) 583-7573

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X MN
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

501 4TH Street SE
Blooming Prairie, MN 55917-1371

Mailing address

PO Box 363
Blooming Prairie, MN 55917
Phone (507) 583-7573

Other identifiers 4

IdentifierTypeStateIssuer
167883OtherMNUCARE MINNESOTA
35019BLOtherMNBLUE CROSS
493267600MedicaidMN
590014914OtherRAILROAD MEDICARE

Other names 1

  • Blooming Prairie Ambulance Service Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111025000901 MN Part B Supplier - Ambulance Service Supplier 5395918049 Practice locations: Blooming Prairie, MN

National Provider Directory

National Provider Directory

Locations

333 2nd Ave NE
Blooming Prairie, MN 55917
Phone (507) 583-7573

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1255470332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "55917",
            "telephone_number": "507-583-7573",
            "fax_number": "507-583-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 4TH STREET SE",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "559171371",
            "telephone_number": "507-583-7573",
            "fax_number": "507-583-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BLOOMING PRAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "ZWIENER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DEPUTY CITY CLERK",
        "authorized_official_telephone_number": "507-583-7573"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "167883",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "35019BL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493267600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blooming Prairie Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blooming Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.