Organization Active NPI

City of Fulda

Doing business as Fulda Community Ambulance Service

  • Land Ambulance
  • Fulda, MN
National Provider Identifier
1629169982
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF FULDA
Doing business as
Fulda Community Ambulance Service
Practice address
305 Front St.
Fulda, MN 56131-0372
Phone
(507) 425-2504
Fax
(507) 425-2393
NPI assigned
Sep 28, 2006
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Julie A Burchill
Title
City Clerk
Phone
(507) 425-2504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X MN Primary

Addresses

Primary practice location

305 Front St.
Fulda, MN 56131-0372

Mailing address

PO Box 372
Fulda, MN 56131-0372
Phone (507) 425-2504

Other identifiers 1

IdentifierTypeStateIssuer
254367200MedicaidMN

Other names 1

  • Fulda Community Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061211000582 MN Part B Supplier - Ambulance Service Supplier 9537168042 Practice locations: Fulda, MN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1629169982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "FULDA",
            "state": "MN",
            "postal_code": "561310372",
            "telephone_number": "507-425-2504",
            "fax_number": "507-425-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FRONT ST.",
            "city": "FULDA",
            "state": "MN",
            "postal_code": "561310372",
            "telephone_number": "507-425-2504",
            "fax_number": "507-425-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FULDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "BURCHILL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "507-425-2504"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254367200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulda Community Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulda, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.