Zumbrota Area Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ZUMBROTA AREA AMBULANCE ASSOCIATION

Doing business as

Zumbrota Area Ambulance

Practice address

1450 Jefferson Drive
Zumbrota, MN 55992

Phone

(507) 732-7845

Fax

(507) 732-5060

NPI assigned

Dec 10, 2006

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Holm

Title

Director

Phone

(507) 732-7845

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Zumbrota Area Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1285794578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 JEFFERSON DRIVE",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "55992",
            "telephone_number": "507-732-7845",
            "fax_number": "507-732-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 JEFFERSON DRIVE",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "55992",
            "telephone_number": "507-732-7845",
            "fax_number": "507-732-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1439 S Main St",
            "address_purpose": "LOCATION",
            "city": "Zumbrota",
            "state": "MN",
            "postal_code": "559921459",
            "country_code": "US",
            "telephone_number": "218-233-5658",
            "fax_number": "218-233-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZUMBROTA AREA AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-732-7845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MN",
            "license": "1891",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131767900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31480ZU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zumbrota Area Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Zumbrota, MN
• Providers in Zumbrota, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.