Organization Active NPI

Floodwood Area Emergency Medical

Doing business as Floodwood Ambulance Service

  • Ambulance
  • Floodwood, MN
National Provider Identifier
1801909932
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
FLOODWOOD AREA EMERGENCY MEDICAL
Doing business as
Floodwood Ambulance Service
Practice address
206 E 8TH Ave
Floodwood, MN 55736
Phone
(218) 476-2751
NPI assigned
Aug 15, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Tom Birch
Title
Coordinator
Phone
(218) 476-2751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

206 E 8TH Ave
Floodwood, MN 55736

Mailing address

3920 13TH Ave E
Suite 6
Hibbing, MN 55746-3675
Phone (218) 263-7540

Other identifiers 2

IdentifierTypeStateIssuer
080867900MedicaidMN
69235FLOtherMNBCBS

Other names 1

  • Floodwood Ambulance Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1801909932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 13TH AVE E",
            "address_2": "SUITE 6",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463675",
            "telephone_number": "218-263-7540",
            "fax_number": "866-732-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 8TH AVE",
            "city": "FLOODWOOD",
            "state": "MN",
            "postal_code": "55736",
            "telephone_number": "218-476-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOODWOOD AREA EMERGENCY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "218-476-2751"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080867900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "69235FL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floodwood Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floodwood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.