Active NPI
City of Chatfield
Doing business as Chatfield Ambulance Service
- Ambulance
- Chatfield, MN
National Provider Identifier
1689672628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0047
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39162CH | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 129611 | Other | MN | UCARE MINNESOTA |
| 402267000 | Medicaid | MN |
Other names 1
- Chatfield Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100210000330 | MN | Part B Supplier - Ambulance Service Supplier | 1850434010 | Practice locations: Chatfield, MN |
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 |
|---|---|---|---|
| 24D0965485 | Chatfield Ambulance Service | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.