CITY OF CHISHOLM
NPI 1396403424
Ambulance - Land Transport in Chisholm, MN

Q: What is City Of Chisholm's NPI number?

The NPI number for City Of Chisholm is 1396403424. It was assigned to this organization in the NPPES registry on December 6, 2021.

Q: What is City Of Chisholm's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Q: When was this NPI record last updated?

The NPPES record for City Of Chisholm was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2021CLIA 24D0965486 · Waiver

201 4TH AVE SE, CHISHOLM, MN 55719(218) 254-7902 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2021, Dec 6, 2021 (2 updates tracked since 2021).

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About City Of Chisholm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY OF CHISHOLM (NPI 1396403424) is a healthcare organization registered as a land transport in Chisholm, Minnesota and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Stephanie Marie Skraba, City Administrator, as its authorized official.

NPPES Registry Identity

NPI1396403424

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameCITY OF CHISHOLM

Location Address201 4TH AVE SEChisholm, MN 55719-1000

Mailing Address316 W Lake StChisholm, MN 55719-3708 · (218) 254-7900

Phone(218) 254-7902

Organization SubpartNo

Authorized OfficialStephanie Marie SkrabaCity Administrator · (218) 254-7960

Enumeration DateDecember 6, 2021

Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration

NPPES CertifiedOctober 3, 2025

✔ NPI 1396403424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

201 4TH AVE SE, Chisholm, MN 55719

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0965486

City Of Chisholm Ambulance Service · Chisholm, MN

Active · expires Sep 21, 2027

CLIA Number24D0965486

Laboratory TypeAmbulance

Certificate Effective DateSeptember 22, 2025

Certificate Expiration DateSeptember 21, 2027

Laboratory DirectorJessica D. Davis

Laboratory Phone(218) 254-7902

Laboratory LocationCity Of Chisholm Ambulance Service329 1st St NW, Chisholm, MN 55719

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

4,072 services168 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

189 services129 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

98 services75 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of Chisholm's NPI number?

The NPI number for City Of Chisholm is 1396403424. It was assigned to this organization in the NPPES registry on December 6, 2021.

Where is City Of Chisholm located?

City Of Chisholm is located at 201 4th Ave SE, Chisholm, MN 55719. The listed phone number is (218) 254-7902.

What is City Of Chisholm's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does City Of Chisholm hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0965486) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Of Chisholm was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.