City of Henning
Organization Active NPI Land Ambulance · Henning, MN
NPI 1821158643 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1821158643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0105 (MN)
- Legal business name
- CITY OF HENNING
- Practice address
- 607 2ND Street
Henning, MN 56551 - Phone
- (218) 233-5658
- Fax
- (218) 233-7630
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Reinbold
- Title
- Ambulance Director
- Phone
- (218) 583-2933
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100219000580 | MN | Part B Supplier - Ambulance Service Supplier | 8527102193 | Practice locations: Henning, MN |
National Provider Directory
- Tax ID family
- Henning Economic Development Authority
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0105 | MN | Yes |
Addresses
Primary practice location
607 2ND Street
Henning, MN 56551
Mailing address
PO Box 55
Henning, MN 56551-0055
Phone (218) 233-5658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62398 | Other | MN | BLUE CROSS BLUE SHIELD |
Other names
- Henning Ambulance Service
Other providers in Henning, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.