Active NPI
City of Houston
Doing business as Houston Community Ambulance
- Land Ambulance
- Houston, MN
National Provider Identifier
1750407169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0110
- 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, 2025
- 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
- Suzanne Peterson
- Title
- Finance/Treasurer
- Phone
- (507) 896-4033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063367400 | Medicaid | MN | |
| 39883HO | Other | MN | BLUE CROSSE BLUE SHIELD |
Other names 1
- Houston Community Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120313000445 | MN | Part B Supplier - Ambulance Service Supplier | 7719146604 | Practice locations: Houston, 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 |
|---|---|---|---|
| 24D1001116 | Houston Community Ambulance | Certificate of waiver | Jun 30, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.