Organization Active NPI

City of Chatfield

Doing business as Chatfield Ambulance Service

  • Ambulance
  • Chatfield, MN
National Provider Identifier
1689672628
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0047 Issued in MN
Legal business name
CITY OF CHATFIELD
Doing business as
Chatfield Ambulance Service
Practice address
21 2ND St SE
Chatfield, MN 55923-1204
Phone
(507) 867-4446
Fax
(507) 867-9093
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Susan L Kester
Title
Director/Training Coordinator.
Phone
(507) 867-4446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0047 MN Primary

Addresses

Primary practice location

21 2ND St SE
Chatfield, MN 55923-1204

Mailing address

21 2ND St SE
Chatfield, MN 55923-1204
Phone (507) 867-4446

Other identifiers 3

IdentifierTypeStateIssuer
39162CHOtherMNBLUE CROSS BLUE SHIELD MN
129611OtherMNUCARE MINNESOTA
402267000MedicaidMN

Other names 1

  • Chatfield 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
O20100210000330 MN Part B Supplier - Ambulance Service Supplier 1850434010 Practice locations: Chatfield, MN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0965485Chatfield Ambulance Service21 Second Street Southeast, Chatfield, MN 55923Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

21 2nd St SE
Chatfield, MN 55923
Phone (507) 867-3810

21 2nd St SE
Ofc
Chatfield, MN 55923
Phone (507) 867-3810

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1689672628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 2ND ST SE",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231204",
            "telephone_number": "507-867-4446",
            "fax_number": "507-867-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 2ND ST SE",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231204",
            "telephone_number": "507-867-4446",
            "fax_number": "507-867-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHATFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KESTER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/TRAINING COORDINATOR.",
        "authorized_official_telephone_number": "507-867-4446"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "39162CH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "129611",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402267000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatfield Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.