City of Dodge Center

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3416L0300X Issued in MN

Legal business name

CITY OF DODGE CENTER

Practice address

130 E Highway Street
Dodge Center, MN 55927

Phone

(507) 374-2600

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bryce Allen-Orville Lange

Title

City Administrator

Phone

(507) 633-2005

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1295936367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 430",
            "address_2": "35 E MAIN STREET",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "55927",
            "telephone_number": "507-374-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E HIGHWAY STREET",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "55927",
            "telephone_number": "507-374-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DODGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "ALLEN-ORVILLE",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "507-633-2005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372867600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "BLUE CROSS BLUE SHEI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Bigelow, OTR/L
• Cintia Blas
• Allison Lynn Bottema
• Michelle Brannick
• Bethany Buus, M.S., CCC-SLP
• County of Dodge
• County of Dodge
• Dodge Center Chiropractic Office, P.a.
• Paul J Donnay, DDS
• William Bryan Edwards, LADC

• Land Ambulance in Dodge Center, MN
• Providers in Dodge Center, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.