City of Lake Lillian

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0129 Issued in MN

Legal business name

CITY OF LAKE LILLIAN

Doing business as

Lake Lillian Ambulance Service

Practice address

531 Lakeview St
Lake Lillian, MN 56253

Phone

(320) 664-4440

Fax

(320) 664-4440

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By 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

Susan Jungclaus

Title

City Clerk and Treasurer

Phone

(320) 664-4440

Specialties & licenses 1

Addresses

Other names 1

• Lake Lillian Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609946573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 LAKEVIEW ST",
            "address_2": "PO BOX 7",
            "city": "LAKE LILLIAN",
            "state": "MN",
            "postal_code": "56253",
            "telephone_number": "320-664-4440",
            "fax_number": "320-664-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 LAKEVIEW ST",
            "city": "LAKE LILLIAN",
            "state": "MN",
            "postal_code": "56253",
            "telephone_number": "320-664-4440",
            "fax_number": "320-664-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAKE LILLIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUNGCLAUS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CITY CLERK AND TREASURER",
        "authorized_official_telephone_number": "320-664-4440"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Lillian Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HGS Innovations (Lillian Ridge)
• Tamernic

• Ambulance in Lake Lillian, MN
• Providers in Lake Lillian, MN by specialty
• Ambulance in Minnesota

• 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.