Active NPI
City of Blooming Prairie
- Land Ambulance
- Blooming Prairie, MN
National Provider Identifier
1255470332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167883 | Other | MN | UCARE MINNESOTA |
| 35019BL | Other | MN | BLUE CROSS |
| 493267600 | Medicaid | MN | |
| 590014914 | Other | RAILROAD MEDICARE |
Other names 1
- Blooming Prairie Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111025000901 | MN | Part B Supplier - Ambulance Service Supplier | 5395918049 | Practice locations: Blooming Prairie, MN |
National Provider Directory
National Provider DirectoryLocations
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.