Organization Active NPI

City of Maplewood

  • Land Ambulance
  • Maplewood, MN
National Provider Identifier
1376755348
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0148 Issued in MN
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

Updated by the provider on Mar 19, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
971267400MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100305000463 MN Part B Supplier - Ambulance Service Supplier 2466597166 Practice locations: Maplewood, MN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.