Organization Active NPI

Madelia Health

  • Land Ambulance
  • Madelia, MN
National Provider Identifier
1992349591
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MADELIA HEALTH
Practice address
121 Drew Ave SE
Madelia, MN 56062-1841
Phone
(507) 642-3255
Fax
(507) 642-5203
NPI assigned
Nov 6, 2019
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MADELIA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Samantha Knakmuhs
Title
Credentialing Coordinator
Phone
(507) 642-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

121 Drew Ave SE
Madelia, MN 56062-1841

Mailing address

121 Drew Ave SE
Madelia, MN 56062-1841
Phone (507) 642-3255

Other names 1

  • Madelia Com Hospital Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200401003519 MN Part B Supplier - Ambulance Service Supplier 1254230816 Practice locations: Madelia, MN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Madelia Community Ambul6 organizations share this tax ID, including this one
Part of
Madelia Community Ambul

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1992349591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255",
            "fax_number": "507-642-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255",
            "fax_number": "507-642-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELIA HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADELIA HEALTH",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "KNAKMUHS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "507-642-3255"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madelia Com Hospital Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Madelia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.