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RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION NPI 1770704587


NPI Information

NPI: 1770704587
Provider Name: RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
201 CHAMPAGNE AVE SW
RED LAKE FALLS, MN
ZIP 56750
Phone: (651) 653-2201
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RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION is a land transport ambulance in Red Lake Falls, MN. RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION NPI is 1770704587. The provider is registered as an organization entity type.

The provider's business location address is:

201 CHAMPAGNE AVE SW
RED LAKE FALLS, MN
ZIP 56750-003
Phone: (651) 653-2201

The provider's authorized official is Diane Tallackson .
The authorized official title is Claims Manager and has the following contact phone number (651) 653-2201.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 12/4/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportMINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1590000109MEDICARE UPINMINNESOTA
263663REOTHERMINNESOTABCBS
3491567400MEDICAIDMINNESOTA

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: 4/28/2024

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