City of Kiester

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0123 Issued in MN

Legal business name

CITY OF KIESTER

Doing business as

Kiester Rescue Squad

Practice address

116 N 1St Street
Kiester, MN 56051

Phone

(218) 233-5638

NPI assigned

Dec 11, 2006

Last updated

Oct 8, 2012By 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

Hope Bauman

Title

Rescue Squad Director

Phone

(507) 294-3739

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• KIESTER RESCUE SQUAD Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• City of Kiester

  • Land Ambulance
  • Kiester, MN
  • NPI 1104351162

  Member Of

  NPD member

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1356401186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "KIESTER",
            "state": "MN",
            "postal_code": "560510452",
            "telephone_number": "218-233-5658",
            "fax_number": "218-233-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N 1ST STREET",
            "city": "KIESTER",
            "state": "MN",
            "postal_code": "56051",
            "telephone_number": "218-233-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KIESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "RESCUE SQUAD DIRECTOR",
        "authorized_official_telephone_number": "507-294-3739"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42290KI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42290KI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIESTER RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Kiester
• Travis Owen Lacore, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.