LE CENTER VOLUNTEER AMBULANCE NPI 1104972611

NPI Information

NPI: 1104972611
Provider Name: LE CENTER VOLUNTEER AMBULANCE
Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
136 S CORDOVA AVE
LE CENTER, MN
ZIP 56057
Phone: (507) 357-8285
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LE CENTER VOLUNTEER AMBULANCE is an ambulance in Le Center, MN. The provider is an 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). LE CENTER VOLUNTEER AMBULANCE NPI is 1104972611. The provider is registered as an organization entity type.

The provider's business location address is:

136 S CORDOVA AVE
LE CENTER, MN
ZIP 56057-804
Phone: (507) 357-8285

The provider's authorized official is Joe M Boettcher .
The authorized official title is Treasurer and has the following contact phone number (507) 357-8285.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30350LE	OTHER	MINNESOTA	BCBS
2	599000164	MEDICARE ID-TYPE UNSPECIFIED
3	273367600	MEDICAID	MINNESOTA
4	121275	OTHER	MINNESOTA	UCARE
5	8181754	OTHER		MEDICU

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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