A.L.S. Aerocare, Inc.

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

1688 Issued in MN

Legal business name

A.L.S. AEROCARE, INC.

Practice address

14815 41St Ave N
Plymouth, MN 55446-2754

Phone

(612) 539-2222

Fax

(763) 572-2194

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Helen Brunner, RN,BSN,CFN

Title

Ceo

Phone

(612) 539-2222

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1285625434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 41ST AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462754",
            "telephone_number": "612-539-2222",
            "fax_number": "763-572-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 41ST AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462754",
            "telephone_number": "612-539-2222",
            "fax_number": "763-572-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.L.S. AEROCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-539-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN,CFN"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MN",
            "license": "1688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "81-00029",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SH",
            "identifier": "50P06AL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198492600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.