NPIMap

Organization Active NPI

County of Carlton

  • Private Vehicle
  • Cloquet, MN
National Provider Identifier
1649558495
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
COUNTY OF CARLTON
Practice address
14 N 11TH St
Cloquet, MN 55720-1607
Phone
(218) 879-4583
Fax
(218) 879-2500
NPI assigned
Jul 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mr. David Lee
Title
Director
Phone
(218) 879-4511

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Taxi 344600000X
Bus 347B00000X
Private Vehicle 347C00000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

14 N 11TH St
Cloquet, MN 55720-1607

Mailing address

14 N 11TH St
PO Box 660
Cloquet, MN 55720-1607
Phone (218) 879-4583

Other identifiers 2

IdentifierTypeStateIssuer
9039916OtherMNMN TAX ID#
000009400MedicaidMN

Other names 1

  • CARLTON COUNTY HUMAN SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Carlton2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14 N 11th St
Cloquet, MN 55720
Phone (218) 879-4511

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1649558495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N 11TH ST",
            "address_2": "PO BOX 660",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201607",
            "telephone_number": "218-879-4583",
            "fax_number": "218-879-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N 11TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201607",
            "telephone_number": "218-879-4583",
            "fax_number": "218-879-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CARLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-879-4511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN TAX ID#",
            "identifier": "9039916",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARLTON COUNTY HUMAN SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.