Active NPI
Bigfork Ambulance Service Association
- Ambulance
- Bigfork, MN
National Provider Identifier
1669585329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- BIGFORK AMBULANCE SERVICE ASSOCIATION
- Practice address
- 105 Ash Street
Bigfork, MN 56628 - Phone
- (218) 743-4131
- NPI assigned
- Aug 16, 2006
- Last updated
- Apr 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lance Koppelman
- Title
- Chief
- Phone
- (218) 743-4131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
105 Ash Street
Bigfork, MN 56628
Mailing address
3920 13TH Ave E
Suite 6
Hibbing, MN 55746-3675
Phone (218) 263-7540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2A081BI | Other | MN | BCBS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0994682 | Bigfork Ambulance Service Association | Certificate of waiver | Dec 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208476800000",
"number": "1669585329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 13TH AVE E",
"address_2": "SUITE 6",
"city": "HIBBING",
"state": "MN",
"postal_code": "557463675",
"telephone_number": "218-263-7540",
"fax_number": "866-732-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ASH STREET",
"city": "BIGFORK",
"state": "MN",
"postal_code": "56628",
"telephone_number": "218-743-4131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIGFORK AMBULANCE SERVICE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2008-04-18",
"status": "A",
"authorized_official_last_name": "KOPPELMAN",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "218-743-4131"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2A081BI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bigfork, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.