Active NPI
City of Elgin
- Ambulance
- Elgin, MN
National Provider Identifier
1952467656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0072
- Legal business name
- CITY OF ELGIN
- Practice address
- 130 Main St E
Elgin, MN 55932-9731 - Phone
- (507) 876-2266
- NPI assigned
- Dec 28, 2006
- 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
- Jessica Mika Cartwright
- Title
- City Clerk Treasurer
- Phone
- (507) 876-2291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0072 | MN | Primary |
Addresses
Primary practice location
130 Main St E
Elgin, MN 55932-9731
Mailing address
PO Box 236
Elgin, MN 55932-0236
Phone (507) 876-2291
Other names 1
- Elgin Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080331000267 | MN | Part B Supplier - Ambulance Service Supplier | 6507879277 | Practice locations: Elgin, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1072977 | Elgin Volunteer Ambulance Service | Certificate of waiver | Aug 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
130 Main St E
Elgin, MN 55932
Phone (507) 876-2266
150 Main St E
Elgin, MN 55932
Phone (507) 876-2266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1952467656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "ELGIN",
"state": "MN",
"postal_code": "559320236",
"telephone_number": "507-876-2291",
"fax_number": "507-876-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAIN ST E",
"city": "ELGIN",
"state": "MN",
"postal_code": "559329731",
"telephone_number": "507-876-2266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ELGIN",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "CARTWRIGHT",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "MIKA",
"authorized_official_title_or_position": "CITY CLERK TREASURER",
"authorized_official_telephone_number": "507-876-2291"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MN",
"license": "0072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elgin Ambulance Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elgin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.