Gunflint Trail Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0388 Issued in MN

Legal business name

GUNFLINT TRAIL VOLUNTEER FIRE DEPARTMENT

Practice address

112 S Gunflint LK Rd
Grand Marais, MN 55604

Phone

(218) 388-0314

Fax

(218) 388-0102

NPI assigned

Oct 29, 2006

Organization subpart

No

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

Authorized official

Name

Laura Dahl Popkes, EMT-B

Title

Ambulance Manager

Phone

(218) 388-9491

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1497831705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 GUNFLINT TRL",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042022",
            "telephone_number": "218-388-0314",
            "fax_number": "218-388-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S GUNFLINT LK RD",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "55604",
            "telephone_number": "218-388-0314",
            "fax_number": "218-388-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNFLINT TRAIL VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "POPKES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "DAHL",
        "authorized_official_title_or_position": "AMBULANCE MANAGER",
        "authorized_official_telephone_number": "218-388-9491",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "74539GU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "81-50084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Figueria-Basheer, LCSW
• Lindsey Gau, MFT
• Thomas Arnold Gaylord, R.PH.
• Grand Marais Family Dentistry
• Great Expectations School
• Catherine Marie Hansen, M.D.
• Kelly Jo Hawsen, MA, LPC
• Alyssa Anne Hedstrom, D.D.S.
• Hillhaven LLC
• Alexys J Hillman, DO

• Land Ambulance in Grand Marais, MN
• Providers in Grand Marais, 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 27, 2018; 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.