City of Balaton

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF BALATON

Doing business as

Balaton Ambulance

Practice address

134 3Rd St
Balaton, MN 56115-1200

Phone

(507) 734-4711

NPI assigned

Aug 15, 2006

Last updated

Sep 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allisa Wendland

Title

Ambulance Captain

Phone

(507) 734-4711

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Balaton Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Lsi Services, LLC

  dba Colonial Manor of Balaton

  • Skilled Nursing Facility
  • Balaton, MN
  • NPI 1114950524

  Member Of

  NPD member

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1881707032",
    "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": "134 3RD ST",
            "city": "BALATON",
            "state": "MN",
            "postal_code": "561151200",
            "telephone_number": "507-734-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BALATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "WENDLAND",
        "authorized_official_first_name": "ALLISA",
        "authorized_official_title_or_position": "AMBULANCE CAPTAIN",
        "authorized_official_telephone_number": "507-734-4711"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81117BA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272267400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balaton Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Balaton Dental Clinic,Inc
• Balaton Public School
• Richard Wallace Brown, DDS
• Kathryn Determan, DDS
• Jenna Elizabeth Erickson, CNM. IBCLC
• Lsi Services, LLC (Colonial Manor of Balaton)
• Amy Perlenfein

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.