Mayo Clinic Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0208 Issued in MN

Legal business name

MAYO CLINIC AMBULANCE

Practice address

501 6TH Ave NW
Rochester, MN 55901-2673

Phone

(507) 281-1226

Fax

(507) 288-9004

NPI assigned

Jul 15, 2006

Last updated

Mar 29, 2019By 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

Mr. Paul Drucker

Title

Vice President

Phone

(507) 255-7955

Specialties & licenses 1

Addresses

Other identifiers 13

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Mayo Clinic

  • Air Ambulance
  • Rochester, MN
  • NPI 1821326570

  Member Of

  NPD member
• Mayo Foundation for Medical Education & Research

  dba Mayo Clinic Store-Albert Lea

  • Durable Medical Equipment & Medical Supplies
  • Albert Lea, MN
  • NPI 1972263531

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James E Colletti, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Rochester, MN
  • NPI 1578538534
  NPD (past)
• Mark A Warner, M.D.

  • Anesthesiology Physician
  • Rochester, MN
  • NPI 1770561987
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1659397164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 6TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012673",
            "telephone_number": "507-281-1226",
            "fax_number": "507-288-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 6TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012673",
            "telephone_number": "507-281-1226",
            "fax_number": "507-288-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "DRUCKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "507-255-7955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014431",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014433",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00131221",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014430",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012788",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937318700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115714100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562514900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012979",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013327",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014432",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660717900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211911100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayo Clinic
• Mayo Clinic
• Mayo Clinic
• Mayo Clinic (Mayo Clinic Center of Excellence Program)
• Mayo Clinic
• Mayo Clinic Hospital-Rochester
• Mayo Clinic Hospital-Rochester
• Mayo Clinic Hospital-Rochester
• Mayo Clinic Hospital-Rochester
• Mayo Clinic Hospital-Rochester

• Land Ambulance in Rochester, MN
• Providers in Rochester, 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 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.