RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION (NPI# 1770704587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770704587 |
Entity Type | Organization |
Organization Name | RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION |
Practice Address |
201 Champagne Ave Sw Red Lake Falls MN 56750-4003 |
Mailing Address |
Po Box 194 Red Lake Falls MN 56750-0194 |
Practice Telephone | 6516532201 |
Mailing Telephone | 6516532201 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2013-12-04 |
Authorized Official Name | DIANE TALLACKSON (CLAIMS MANAGER) |
Authorized Official Telephone | 6516532201 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
MN | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 491567400 | 05 | |
MN | BCBS | 63663RE | 01 |
Street Address |
201 CHAMPAGNE AVE SW |
City | RED LAKE FALLS |
State | MN |
Zip Code | 56750-4003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073788311 | Hillcrest Senior Living | Skilled Nursing Facility | 311 Broadway Ave Ne, Red Lake Falls, MN 56750 | 2008-04-28 |
1295180313 | Lesmeister Dental LLC | Dentist | 105 International Drive, Suite 110, Red Lake Falls, MN 56750-0236 | 2016-04-26 |
1710922786 | Patrick C Alcorn | Dentist | 105 International Drive, Suite #6, Red Lake Falls, MN 56750-0236 | 2006-06-16 |
1578643318 | Ind School District 630 | Local Education Agency (LEA) | 404 Champagne Ave Sw, Red Lake Falls, MN 56750-0399 | 2006-10-16 |
1205064300 | Red Lake County Social Services | Case Management | 125 Edwards Ave Sw, Red Lake Falls, MN 56750-4019 | 2009-06-26 |
1093009532 | Jo Lambert | Social Worker | 125 Edwards Ave Sw, Red Lake Falls, MN 56750-4019 | 2011-06-01 |
1962515940 | Riverview Healthcare Association | Skilled Nursing Facility | 311 Broadway Ave Ne, Red Lake Falls, MN 56750-4224 | 2006-08-16 |
1871682344 | Altru Health System | Clinic/Center | 312 International Dr, Red Lake Falls, MN 56750-4603 | 2006-10-12 |
1053401984 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 105 International Dr, Suite 102, Red Lake Falls, MN 56750-4665 | 2006-10-13 |
1992187868 | Tia Michelle Gullickson | Nurse Practitioner | 105 International Dr, Ste. 126, Red Lake Falls, MN 56750-4665 | 2015-06-26 |
Find all providers in zip 56750 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1386942639 | City of Lafayette | Ambulance | 800 Main Ave., Lafayette, MN 56054 | 2011-03-10 |
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1407023062 | Fm Ambulance Service, Inc | Ambulance | 511 Atlantic Ave, Thief River Falls, MN 56701-2052 | 2008-05-13 |
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 | RED LAKE FALLS |
Zip Code | 56750 |
Please comment or provide details below to improve the information on RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION.
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.