City of International Falls

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0114 Issued in MN

Legal business name

CITY OF INTERNATIONAL FALLS

Doing business as

International Falls Ambulance

Practice address

600 4TH St
International Falls, MN 56649-2442

Phone

(218) 233-5658

Fax

(218) 233-7630

NPI assigned

Dec 10, 2006

Organization subpart

No

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

Authorized official

Name

Jerry Jensen

Title

Fire Chief

Phone

(218) 283-9073

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• International Falls Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386704674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492442",
            "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": "600 4TH ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492442",
            "telephone_number": "218-233-5658",
            "fax_number": "218-233-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF INTERNATIONAL FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "218-283-9073"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70363IN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Falls Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Chezick, PHARM.D
• Joan Christensen, MA, LPP
• Gary Dennis Christianson, L.A.D.C.
• Bruce A Christopherson
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• Alyssa Louann Clarity, DC
• Mary Clark, LMFT
• Jessica Marie Cobban, PA-C
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• County of Koochiching

• Land Ambulance in International Falls, MN
• Providers in International Falls, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.