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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 607524000 | 05 | |
MN | BLUE CROSS BLUE SHEILD | 5G890TW | 01 |
Other Name | Type Code |
---|---|
Two Harbors Ambulance | Doing Business As Name - Organization |
Street Address |
421 20TH AVE |
City | TWO HARBORS |
State | MN |
Zip Code | 55616 |
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 |
Find all providers in zip 55616 |
Taxonomy Code | 341600000X |
Grouping | Transportation Services |
Classification | Ambulance |
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. |
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 |
Find all providers with the same taxonomy |
City | TWO HARBORS |
Zip Code | 55616 |
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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.