Organization Active NPI

Hayfield Community Ambulance

  • Land Ambulance
  • Hayfield, MN
National Provider Identifier
1366515959
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0313 Issued in MN
Legal business name
HAYFIELD COMMUNITY AMBULANCE
Practice address
10 First Street NW
Hayfield, MN 55940
Phone
(507) 477-2234
Fax
(507) 477-3306
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Mrs. Nicole Bacigalupo
Title
Director
Phone
(507) 273-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0313 MN Primary

Addresses

Primary practice location

10 First Street NW
Hayfield, MN 55940

Mailing address

PO Box 471
Hayfield, MN 55940-0471
Phone (507) 477-2234

Other identifiers 1

IdentifierTypeStateIssuer
833267300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050118000784 MN Part B Supplier - Ambulance Service Supplier 1759330632 Practice locations: Hayfield, MN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1056326Hayfield Community Ambulance10 1St Street NW, Hayfield, MN 55940Certificate of waiverAug 12, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1366515959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "HAYFIELD",
            "state": "MN",
            "postal_code": "559400471",
            "telephone_number": "507-477-2234",
            "fax_number": "507-477-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FIRST STREET NW",
            "city": "HAYFIELD",
            "state": "MN",
            "postal_code": "55940",
            "telephone_number": "507-477-2234",
            "fax_number": "507-477-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYFIELD COMMUNITY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "BACIGALUPO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-273-1307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833267300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.