Active NPI
City of Maplewood
- Land Ambulance
- Maplewood, MN
National Provider Identifier
1376755348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0148
- Legal business name
- CITY OF MAPLEWOOD
- Practice address
- 1830 County Road B E
Maplewood, MN 55109-2702 - Phone
- (651) 249-2050
- Fax
- (651) 249-2909
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- R Charles Ahl
- Title
- Acting City Manager
- Phone
- (651) 249-2050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0148 | MN | Primary |
Addresses
Primary practice location
1830 County Road B E
Maplewood, MN 55109-2702
Mailing address
1830 County Road B E
Maplewood, MN 55109-2702
Phone (651) 249-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 971267400 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100305000463 | MN | Part B Supplier - Ambulance Service Supplier | 2466597166 | Practice locations: Maplewood, MN |
National Provider Directory
National Provider DirectoryLocations
1530 County Road C E
Maplewood, MN 55109
Phone (651) 249-2822
600 McKnight Rd N
Maplewood, MN 55119
Phone (651) 249-2810
1830 County Road B E
Saint Paul, MN 55109
Phone (651) 249-2050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1376755348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 COUNTY ROAD B E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551092702",
"telephone_number": "651-249-2050",
"fax_number": "651-249-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 COUNTY ROAD B E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551092702",
"telephone_number": "651-249-2050",
"fax_number": "651-249-2909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MAPLEWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "AHL",
"authorized_official_first_name": "R",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "ACTING CITY MANAGER",
"authorized_official_telephone_number": "651-249-2050"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MN",
"license": "0148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "971267400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.