Organization Active NPI

Cloquet Area Fire District

  • Land Ambulance
  • Cloquet, MN
National Provider Identifier
1871748681
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0053 Issued in MN
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

Updated by the provider on Apr 18, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20090209000220 MN Part B Supplier - Ambulance Service Supplier 4789749730 Practice locations: Cloquet, MN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.