NPIMap

Organization Active NPI

City of Jasper

  • Ambulance
  • Jasper, MN
National Provider Identifier
1407804263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0118 Issued in MN
Legal business name
CITY OF JASPER
Practice address
101 Wall St E
Jasper, MN 56144-1102
Phone
(507) 348-3701
Fax
(507) 348-4401
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven John Ewing, EMT-P
Title
Billing Officer
Phone
(507) 825-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0118 MN Primary

Addresses

Primary practice location

101 Wall St E
Jasper, MN 56144-1102

Mailing address

101 Wall St W
Jasper, MN 56144-1143
Phone (507) 648-3701

Other names 1

  • Jasper Community Ambulance Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060908000047 MN Part B Supplier - Ambulance Service Supplier 7416951348 Practice locations: Jasper, MN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407804263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WALL ST W",
            "city": "JASPER",
            "state": "MN",
            "postal_code": "561441143",
            "telephone_number": "507-648-3701",
            "fax_number": "507-348-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WALL ST E",
            "city": "JASPER",
            "state": "MN",
            "postal_code": "561441102",
            "telephone_number": "507-348-3701",
            "fax_number": "507-348-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JASPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "507-825-6770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper Community Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jasper, MN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.