HIBBING AMBULANCE SERVICE (CITY OF HIBBING) NPI 1013139583

Ambulance in Hibbing, MN

NPI 1013139583 Organization Ambulance CLIA Number 24D0893759 CLIA Certificate of Waiver

About HIBBING AMBULANCE SERVICE (CITY OF HIBBING)

Hibbing Ambulance Service (city Of Hibbing) is a provider established in Hibbing, Minnesota specializing in ambulance. The NPI number of Hibbing Ambulance Service (city Of Hibbing) is 1013139583 and was assigned on May 2007. The practitioner's primary taxonomy code is 341600000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Hibbing Ambulance Service. The authorized official of this NPI record is Sherri Renskers (Chief)

The CLIA number of Hibbing Ambulance Service is 24D0893759 registered as a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Hibbing Ambulance Service to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1013139583

Provider NameHIBBING AMBULANCE SERVICE (CITY OF HIBBING)
Provider Location Address2320 BROOKLYN DR HIBBING, MN 55746
Provider Mailing Address1200 E 25TH ST HIBBING, MN 55746
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHIBBING AMBULANCE SERVICE
Other Name TypeDoing Business As (3)
Enumeration Date05-03-2007
Last Update Date01-31-2012


Primary Taxonomy

Taxonomy Code341600000X
ClassificationAmbulance
TypeTransportation Services
License StateMN
Taxonomy DescriptionAn emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

Business Address

HIBBING AMBULANCE SERVICE
2320 BROOKLYN DR
HIBBING, MN
ZIP 55746
Phone: (218) 312-3002
Fax: (218) 312-3003

Get Directions


Mailing Address

HIBBING AMBULANCE SERVICE
1200 E 25TH ST
HIBBING, MN
ZIP 55746
Phone: (218) 312-3002
Fax: (218) 312-3003



Authorized Official

Authorized Official Name SHERRI RENSKERS
Authorized Official TitleCHIEF
Authorized Official Phone(218) 362-6683

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013139583 is:

CLIA Number24D0893759
Facility TypeAMBULANCE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
590656409OTHER (01)MN
599000236MEDICARE PIN (08)MN
112096OTHER (01)MN
69331HIOTHER (01)MN
232767800MEDICAID (05)MN

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.