Organization Active NPI

City of Houston

Doing business as Houston Community Ambulance

  • Land Ambulance
  • Houston, MN
National Provider Identifier
1750407169
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0110 Issued in MN
Legal business name
CITY OF HOUSTON
Doing business as
Houston Community Ambulance
Practice address
105 W Maple St
Houston, MN 55943
Phone
(507) 895-3234
NPI assigned
Mar 21, 2007
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Suzanne Peterson
Title
Finance/Treasurer
Phone
(507) 896-4033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0110 MN Primary

Addresses

Primary practice location

105 W Maple St
Houston, MN 55943

Mailing address

105 W Maple St
Houston, MN 55943-8660
Phone (507) 896-4033

Other identifiers 2

IdentifierTypeStateIssuer
063367400MedicaidMN
39883HOOtherMNBLUE CROSSE BLUE SHIELD

Other names 1

  • Houston Community Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000445 MN Part B Supplier - Ambulance Service Supplier 7719146604 Practice locations: Houston, 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
24D1001116Houston Community Ambulance105 West Maple Street, Houston, MN 55943Certificate of waiverJun 30, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1750407169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MAPLE ST",
            "city": "HOUSTON",
            "state": "MN",
            "postal_code": "559438660",
            "telephone_number": "507-896-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MAPLE ST",
            "city": "HOUSTON",
            "state": "MN",
            "postal_code": "55943",
            "telephone_number": "507-895-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "FINANCE/TREASURER",
        "authorized_official_telephone_number": "507-896-4033"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063367400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSE BLUE SHIELD",
            "identifier": "39883HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Community Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.