City of Biwabik

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0027 Issued in MN

Legal business name

CITY OF BIWABIK

Doing business as

Biwabik Fire Department Ambulance

Practice address

103 3Rd Avenue North
Biwabik, MN 55708-0529

Phone

(218) 865-4183

Fax

(218) 865-4580

NPI assigned

Jul 18, 2006

Last updated

May 2, 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

Jeff Jacobson

Title

City Administrator

Phone

(218) 865-4183

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BIWABIK FIRE DEPARTMENT AMBULANCE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey R Jacobsen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1881854107
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1992723944",
    "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": "103 3RD AVENUE NORTH",
            "city": "BIWABIK",
            "state": "MN",
            "postal_code": "557080529",
            "telephone_number": "218-865-4183",
            "fax_number": "218-865-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BIWABIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "218-865-4183"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70215CI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382768200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIWABIK FIRE DEPARTMENT AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Biwabik Family Dental, PA
• Mindfully Blessed LLC
• Jerald Mitchell
• Paul John Stark, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.