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JACKSON AMBULANCE SERVICE
NPI 1811915648
Ambulance - Land Transport in Jackson, MN

Active since July 18, 2006CLIA 24D2082934 · Waiver
305 SHERIDAN STR, JACKSON, MN 56143(507) 847-5306 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Oct 6, 2023, May 10, 2023 (3 updates tracked since 2023).

About Jackson Ambulance Service NPPES

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

JACKSON AMBULANCE SERVICE (NPI 1811915648) is a healthcare organization registered as a land transport in Jackson, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Matt Skaret, City Administrator, as its authorized official.

NPPES Registry Identity

NPI1811915648
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameJACKSON VOLUNTEER AMBULANCE
Location Address305 SHERIDAN STRJackson, MN 56143-0242
Mailing Address80 W Ashley StJackson, MN 56143-1669 · (507) 847-5306
Phone(507) 847-5306
Organization SubpartNo
Authorized OfficialMatt SkaretCity Administrator · (507) 847-4410
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1811915648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X · License 0117 (MN)
305 SHERIDAN STR, Jackson, MN 56143
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Other Names 1

Doing Business AsJackson Ambulance Service

Other Identifiers 1

Other48400JAMN · Blue Cross Blue Shield

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 24D2082934

Jackson Ambulance Service · Jackson, MN
Active · expires Aug 25, 2026
CLIA Number24D2082934
Laboratory TypeAmbulance
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorGrant M. Landbo
Laboratory Phone(507) 840-0074
Laboratory LocationJackson Ambulance Service305 Sheridan St, Jackson, MN 56143
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
3,054 services94 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.
93 services68 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
36 services31 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.
16 services14 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 Jackson Volunteer Ambulance's NPI number?

The NPI number for Jackson Volunteer Ambulance is 1811915648. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Jackson Ambulance Service.

Where is Jackson Volunteer Ambulance located?

Jackson Volunteer Ambulance is located at 305 Sheridan Str, Jackson, MN 56143. The listed phone number is (507) 847-5306.

What is Jackson Volunteer Ambulance's specialty?

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

Does Jackson Volunteer Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2082934) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackson Volunteer Ambulance was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.