LAKE COUNTY AMBULANCE SERVICE


Address: 421 20th Ave, Two Harbors, MN 55616
Phone: 2188347110

LAKE COUNTY AMBULANCE SERVICE (NPI# 1457346223) 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) 1457346223
Entity Type Organization
Organization Name LAKE COUNTY AMBULANCE SERVICE
Other Organization Name TWO HARBORS AMBULANCE
Practice Address 421 20th Ave
Two Harbors
MN 55616
Practice Telephone 2188347110
Practice Fax Number 2188349587
Mailing Telephone 2188347110
Mailing Fax Number 2188349587
Enumeration Date 2005-09-16
Last Update Date 2013-10-24
Authorized Official Name MS. DANIELLE DENEUI (DIRECTOR/CEO)
Authorized Official Telephone 2188347110
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3416L0300X Ambulance
Specialization: Land Transport
0248 MN Transportation Services
Y 341600000X Ambulance Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
MN 607524000 05
MN BLUE CROSS BLUE SHEILD 5G890TW 01

Other Provider/Organization Names

Other Name Type Code
Two Harbors Ambulance Doing Business As Name - Organization

Office Location

Street Address 421 20TH AVE
City TWO HARBORS
State MN
Zip Code 55616

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265582472 Paul Martin Trygstad Dentist 123 Waterfront Drive, Two Harbors, MN 55616 2007-01-11
1023067642 Lake View Memorial Hospital, Incorporated General Acute Care Hospital 325 11th Ave, Two Harbors, MN 55616 2006-05-09
1851818264 Casandra Lynn Dallum Dental Hygienist Po Box 146, Two Harbors, MN 55616-0146 2017-08-25
1700922960 Amy Lynn Phipps-poe Physical Therapist 1503 7th Ave, Two Harbors, MN 55616-1102 2007-01-29
1891018883 Vision Pro Optical Optometrist 1028 7th Ave, Two Harbors, MN 55616-1149 2010-03-05
1619015922 Sally Elizabeth Stout Chiropractor 1026 7th Ave, Two Harbors, MN 55616-1149 2007-02-01
1871623769 Stout Chiropractic Care, Sc Clinic/Center 1026 7th Ave, Two Harbors, MN 55616-1149 2007-03-07
1134150832 Firstsolutions Clinic/Center 1010 4th St, Two Harbors, MN 55616-1200 2006-07-05
1205498631 Amy Jo Suomi Nurse Practitioner 1010 4th St, Two Harbors, MN 55616-1200 2019-07-06
1245688878 Eric Tolga Hanhan Family Medicine 1010 4th St, Two Harbors, MN 55616-1200 2016-05-24
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Taxonomy Information

Taxonomy Code 341600000X
Grouping Transportation Services
Classification Ambulance

Taxonomy Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235437864 City of Virginia Ambulance 115 N 4th Ave, Virginia, MN 55792-2520 2011-03-07
1710127139 City of Minnesota Lake Ambulance 10001 Lake Ave, Minnesota Lake, MN 56068-0098 2009-02-25
1730331356 Lewisville Rescue Squad Ambulance 208 Lewis Street W, Lewisville, MN 56060 2008-10-14
1114186988 City of Hoffman Ambulance 127 Main Ave, Hoffman, MN 56339-0227 2008-06-05
1992989503 City of Heron Lake Ambulance 1111 2nd Ave, Heron Lake, MN 56137-0315 2007-12-19
1235323874 Freeborn Fire & Ambulance Ambulance 402 Park St, Freeborn, MN 56032-0099 2007-08-28
1134323264 City of Lanesboro Ambulance 202 Parkway Avenue South, Lanesboro, MN 55949 2007-06-13
1619179801 City of St. Charles Ambulance 830 Whitewater Ave, Saint Charles, MN 55972-1129 2007-06-01
1225250491 Clara City Ambulance Service Ambulance 215 Nw 1st St, Clara City, MN 56222-0560 2007-05-03
1164644662 Longyear Inc of Chisholm Ambulance 329 1st St Nw, Chisholm, MN 55719-1703 2007-05-03
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Competitor

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City TWO HARBORS
Zip Code 55616

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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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