PARKERS PRAIRIE COMMUNITY AMBULANCE (NPI# 1053471888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053471888 |
Entity Type | Organization |
Organization Name | PARKERS PRAIRIE COMMUNITY AMBULANCE |
Practice Address |
102 North Otter Avenue Parkers Prairie MN 56361 |
Mailing Address |
Po Box 115 Parkers Prairie MN 56361-0115 |
Practice Telephone | 2182335658 |
Mailing Telephone | 2182335658 |
Mailing Fax Number | 2182337630 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ROBERT HUCKLE (AMBULANCE ADMINISTRATOR) |
Authorized Official Telephone | 2183384357 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0188 | MN | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BLUE CROSS BLUE SHIELD | 1A368PA | 01 |
Street Address |
102 NORTH OTTER AVENUE |
City | PARKERS PRAIRIE |
State | MN |
Zip Code | 56361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083055370 | Donna M Krull | Custodial Care Facility | 13281 Cty. Hwy. 42, Parkers Prairie, MN 56361 | 2013-07-15 |
1700115003 | Mccornell Court | Assisted Living Facility | 122 No. Mccornell Avenue, Parkers Prairie, MN 56361 | 2009-12-15 |
1760642029 | Dianne Verant | Social Worker | 515 North Clayborn Ave, Parkers Prairie, MN 56361 | 2008-06-11 |
1881810190 | Casey Larae Ruckheim | Specialist | 219 West Soo St, Suite 3, Parkers Prairie, MN 56361 | 2007-04-17 |
1063804326 | Jonna Rose Beyer | Physician Assistant | 115 E Soo St, Parkers Prairie, MN 56361 | 2015-02-24 |
1609328251 | Jillian Klemek | Chiropractor | 115 W Soo St, Parkers Prairie, MN 56361-4400 | 2016-10-31 |
1871035451 | Klemek Chiropractic | Chiropractor | 115 W Soo St, Parkers Prairie, MN 56361-4400 | 2016-11-14 |
1538292156 | St. William's Living Center | Skilled Nursing Facility | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2007-03-13 |
1285298349 | Grant Phillip Haugen | Physical Therapist | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2019-04-24 |
1528422532 | Tracey Dawn Danielson | Occupational Therapy Assistant | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2016-04-06 |
Find all providers in zip 56361 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1851575955 | Elmore Ambulance Service | Ambulance | 208 W Willis St, Elmore, MN 56027 | 2007-12-26 |
1801085493 | Bemidji Ambulance Service, Inc. | Ambulance | 512 Kay Ave Se, Bemidji, MN 56601-3637 | 2007-10-18 |
Find all providers with the same taxonomy |
City | PARKERS PRAIRIE |
Zip Code | 56361 |
Please comment or provide details below to improve the information on PARKERS PRAIRIE COMMUNITY AMBULANCE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.