Perham Area EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

MN017 Issued in MN

Legal business name

PERHAM AREA EMS

Practice address

525 W Main St
Perham, MN 56573-1457

Phone

(218) 346-4440

Fax

(218) 346-9795

NPI assigned

Jan 3, 2007

Last updated

Mar 21, 2012By 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

Douglas Nels Harthan, NREMT-P

Title

Director of EMS

Phone

(218) 346-4485

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City of Perham Former legal business name

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1548327778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731457",
            "telephone_number": "218-346-4440",
            "fax_number": "218-346-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W MAIN ST",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731457",
            "telephone_number": "218-346-4440",
            "fax_number": "218-346-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERHAM AREA EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "HARTHAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "NELS",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "218-346-4485",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "MN017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932767300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Perham",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Carmen Ann Parks, LADC
• Morgan Parks, DMD
• Mark R Paulson, MD
• Christopher Peluso, PA-C
• Perham Area EMS
• Perham Family Dentistry
• Perham Hospital District (Perham Health Hospital Pharmacy)
• Perham Hospital District (Perham Living Home Care)
• Perham Hospital District (Perham Health)
• Perham Hospital District (Perham Health)

• Land Ambulance in Perham, MN
• Providers in Perham, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.