City of Jackson

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF JACKSON

Practice address

305 Sheridan St
Jackson, MN 56143

Phone

(507) 847-5603

Fax

(507) 847-5586

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Skaret

Title

City Administrator

Phone

(507) 847-4410

Specialties & licenses 1

Addresses

Other names 1

• Jackson Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

City of Jackson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jackson Volunteer Ambulance

  • Land Ambulance
  • Jackson, MN
  • NPI 1811915648
  NPD tax ID

Locations

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1750133013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W ASHLEY ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431669",
            "telephone_number": "507-847-4410",
            "fax_number": "507-847-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SHERIDAN ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "56143",
            "telephone_number": "507-847-5603",
            "fax_number": "507-847-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "SKARET",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "507-847-4410"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Kay Burmeister, MSW, LICSW
• Rebecca Lee Burud-Kolander, SLP
• Lisbeth Melissa Castillo
• Chad Brown, D.D.S., P.C.
• Deborah Davis Christopher, DDS
• Dulce Rubi Mara Cordova, CNP, PMHNP-BC
• Brittany Ann Dahl
• David M Kruse OD PA
• Des Moines Valley Health and Human Services
• Des Moines Valley Health and Human Services

• Land Ambulance in Jackson, MN
• Providers in Jackson, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.