City of Fairfax

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1898 Issued in MN

Legal business name

CITY OF FAIRFAX

Practice address

112 1St Street SE
Fairfax, MN 55332-0911

Phone

(507) 426-7255

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Kevin Schafer

Title

Mayor

Phone

(507) 426-7255

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1770580664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SE 1ST STREET",
            "city": "FAIRFAX",
            "state": "MN",
            "postal_code": "553320911",
            "telephone_number": "507-426-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 1ST STREET SE",
            "city": "FAIRFAX",
            "state": "MN",
            "postal_code": "553320911",
            "telephone_number": "507-426-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FAIRFAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "507-426-7255"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030701148",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47127FA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Charles Bengtson, D.D.S.
• Deidre Campen, MS, LPCC
• City of Sleepy Eye
• Tiana Jean Clobes
• Countryview Assisted Living LLC
• Angela Ebel, LGSW
• Fairfax Community Home Health

• Ambulance in Fairfax, MN
• Providers in Fairfax, MN by specialty
• Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.