Organization Active NPI

County of Dakota

Doing business as City of Burnsville

  • Ambulance
  • Burnsville, MN
National Provider Identifier
1427167618
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0391 Issued in MN
Legal business name
COUNTY OF DAKOTA
Doing business as
City of Burnsville
Practice address
100 Civic Center Pkwy
Burnsville, MN 55337-3867
Phone
(952) 895-4483
Fax
(952) 895-4462
NPI assigned
Aug 30, 2006
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Jennifer L Rhode
Title
Finance Director
Phone
(952) 895-4483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0391 MN Primary

Addresses

Primary practice location

100 Civic Center Pkwy
Burnsville, MN 55337-3867

Mailing address

PO Box 856743
Minneapolis, MN 55485-3867
Phone (866) 673-1113

Other identifiers 1

IdentifierTypeStateIssuer
985367700MedicaidMN

Other names 1

  • City of Burnsville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060504000099 MN Part B Supplier - Ambulance Service Supplier 2466462569 Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

Locations

100 Civic Center Pkwy
Burnsville, MN 55337
Phone (952) 895-4483

12155 Parkwood Dr
Burnsville, MN 55337
Phone (952) 641-1330

14275 Newton Ave S
Burnsville, MN 55306
Phone (952) 895-4483

911 W 140th St
Burnsville, MN 55337
Phone (952) 895-4483

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1427167618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856743",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554853867",
            "telephone_number": "866-673-1113",
            "fax_number": "888-974-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CIVIC CENTER PKWY",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373867",
            "telephone_number": "952-895-4483",
            "fax_number": "952-895-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "RHODE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "952-895-4483"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "985367700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Burnsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Burnsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.