OLIVIA AMBULANCE SERVICE, INC. (NPI# 1669488466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669488466 |
Entity Type | Organization |
Organization Name | OLIVIA AMBULANCE SERVICE, INC. |
Practice Address |
1005 W Lincoln Ave Olivia MN 56277 |
Mailing Address |
Po Box 97 Olivia MN 56277-0097 |
Practice Telephone | 3205235565 |
Practice Fax Number | 3205231232 |
Mailing Telephone | 3205235565 |
Mailing Fax Number | 3205231232 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JULIE WERTISH (SECRETARY/TREASURER) |
Authorized Official Telephone | 3205235565 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0183 | MN | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS | 47193OL | 01 |
Street Address |
1005 W LINCOLN AVE |
City | OLIVIA |
State | MN |
Zip Code | 56277 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720632276 | William Cleveland | Pharmacist | 105 S 1st Street, Olivia, MN 56277 | 2019-08-01 |
1386172633 | Healing Transformations Counseling Pllc | Social Worker | 1635 West Lincoln Avenue, Suite 3, Olivia, MN 56277 | 2017-05-31 |
1053455774 | Sward-kemp Drug Co of Olivia Inc | Pharmacy | 801 East Depue Avenue, Olivia, MN 56277 | 2007-02-16 |
1073678959 | Independent School District No 2534 | Local Education Agency (LEA) | 701 South 9th Street, Olivia, MN 56277 | 2006-12-22 |
1619303682 | Rebecca M Thiesse | Audiologist | 600 E Park Ave, Ste 2, Olivia, MN 56277 | 2013-09-22 |
1871746164 | Lisa Lora Babler | Physician Assistant | 611 E Fairview Ave, Olivia, MN 56277 | 2008-10-30 |
1679667554 | Bruce B Neumann | Podiatrist | 100 Healthy Way, Olivia, MN 56277 | 2006-10-03 |
1982655270 | Ggnsc Olivia LLC | Skilled Nursing Facility | 1003 W Maple Ave, Olivia, MN 56277-1063 | 2006-05-12 |
1093337800 | Renville Olivia Holdings | Skilled Nursing Facility | 1003 W Maple Ave, Olivia, MN 56277-1063 | 2020-05-14 |
1982149183 | Olivia Operations LLC | Skilled Nursing Facility | 1003 W Maple Ave, Olivia, MN 56277-1063 | 2016-12-23 |
Find all providers in zip 56277 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.