Active NPI
Cloquet Area Fire District
- Land Ambulance
- Cloquet, MN
National Provider Identifier
1871748681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0053
- Legal business name
- CLOQUET AREA FIRE DISTRICT
- Practice address
- 508 Cloquet Ave
Cloquet, MN 55720-3742 - Phone
- (218) 879-6514
- NPI assigned
- Nov 20, 2008
- 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
- Jesse Buhs
- Title
- Fire Chief
- Phone
- (218) 499-4258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0053 | MN | Primary |
Addresses
Primary practice location
508 Cloquet Ave
Cloquet, MN 55720-3742
Mailing address
1307 Cloquet Ave
Cloquet, MN 55720-1656
Phone (218) 879-3347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090209000220 | MN | Part B Supplier - Ambulance Service Supplier | 4789749730 | Practice locations: Cloquet, MN |
National Provider Directory
National Provider DirectoryLocations
508 Cloquet Ave
Cloquet, MN 55720
Phone (218) 499-4258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1871748681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 CLOQUET AVE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201656",
"telephone_number": "218-879-3347",
"fax_number": "218-879-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 CLOQUET AVE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557203742",
"telephone_number": "218-879-6514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOQUET AREA FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-20",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "BUHS",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "218-499-4258"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MN",
"license": "0053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.