Stevens County Ambulance – Ambulance in Morris, MN

Key facts

NPI: 1689757262
Entity type: Organization (NPI type 2)
Primary specialty: Ambulance 341600000X
License: 0402 (MN)
Legal business name: STEVENS COUNTY AMBULANCE
Practice address: 209 S Highway 9
Morris, MN 56267-1500
Phone: (320) 589-7421
NPI assigned: Oct 24, 2006
Organization subpart: No

Authorized official

Name: Mr. Richard Wagner
Title: Administrator
Phone: (320) 589-7421

Corporate family (same tax ID) 2

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

Stevens County Human Services Case Management Agency · Morris, MN · NPI 1568693091

NPD tax ID
Stevens Traverse Grant Public Health Public Health or Welfare Agency · Morris, MN · NPI 1962473710

NPD tax ID

National Provider Directory

Tax ID family: Stevens County Ambulance (3 organizations share this tax ID)

Locations

209 S Highway 9
Morris, MN 56267
Phone (320) 589-7421

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulance	341600000X	0402	MN	Yes

Addresses

Primary practice location

209 S Highway 9
Morris, MN 56267-1500

Mailing address

209 S Highway 9
PO Box 231
Morris, MN 56267-1500
Phone (320) 589-7421

Other identifiers

Identifier	Type	State	Issuer
49361ST	Other	MN	BCBSMN
8180741	Other	MN	MEDICA
902067500	Medicaid	MN
030722026	Other	MN	PRIMEWEST

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 21, 2009.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1689757262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S HIGHWAY 9",
            "address_2": "PO BOX 231",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671500",
            "telephone_number": "320-589-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S HIGHWAY 9",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671500",
            "telephone_number": "320-589-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-589-7421",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "49361ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8180741",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902067500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "030722026",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

All providers in Morris, MN · Ambulance in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.