RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION


Address: 201 Champagne Ave Sw, Red Lake Falls, MN 56750-4003
Phone: 6516532201

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
MN Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
MN 491567400 05
MN BCBS 63663RE 01

Office Location

Street Address 201 CHAMPAGNE AVE SW
City RED LAKE FALLS
State MN
Zip Code 56750-4003

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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
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1962515940 Riverview Healthcare Association Skilled Nursing Facility 311 Broadway Ave Ne, Red Lake Falls, MN 56750-4224 2006-08-16
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1578920062 Clockwise Movers LLC Ambulance 2219 Oakland Ave S, Suite 204, Minneapolis, MN 55404 2016-01-28
1700255973 Dennis Lanoux Ambulance 617 Wilkins St W, Stillwater, MN 55082-4432 2015-09-17
1871929976 Regions Hospital Ambulance 2501 Minnehaha Ave, Minneapolis, MN 55404-4119 2013-09-20
1386942639 City of Lafayette Ambulance 800 Main Ave., Lafayette, MN 56054 2011-03-10
1033441951 Universal Transit Services, Inc Ambulance 2500 E 25th Street, Minneapolis, MN 55406 2010-02-02
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
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Competitor

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City RED LAKE FALLS
Zip Code 56750

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Dataset Information

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.

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