Great Plains EMS, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GREAT PLAINS EMS, INC

Practice address

511 N Atlantic
Thief River Falls, MN 56701

Phone

(218) 681-7072

NPI assigned

Dec 13, 2006

Last updated

Sep 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Tallackson

Title

Claims Manager

Phone

(218) 681-7072

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Great Plains EMS, Thief River Falls Branch Other name

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1528129160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567010388",
            "telephone_number": "218-681-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N ATLANTIC",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "56701",
            "telephone_number": "218-681-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS EMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "TALLACKSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "218-681-7072"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "3G120EM",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Plains EMS, Thief River Falls Branch",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Thief River Falls, MN
• Providers in Thief River 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 Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.