SHAKOPEE MDEWAKANTON EMERGENCY SERVICES (NPI# 1700890134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700890134 |
| Entity Type | Organization |
| Organization Name | SHAKOPEE MDEWAKANTON EMERGENCY SERVICES |
| Practice Address |
2525 Flandreau Trail Prior Lake MN 55372 |
| Mailing Address |
3920 13th Ave E Suite 6 Hibbing MN 55746-3675 |
| Practice Telephone | 9522331077 |
| Mailing Telephone | 2182637540 |
| Mailing Fax Number | 8667320699 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | STANLEY CROOKS (CEO) |
| Authorized Official Telephone | 9524458900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 77M49SH | 01 |
| Street Address |
2525 FLANDREAU TRAIL |
| City | PRIOR LAKE |
| State | MN |
| Zip Code | 55372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830995 | Abby Lynn Quinnell | Physician Assistant | 19455 Towering Oaks Trl, Prior Lake, MN 55372 | 2020-04-21 |
| 1659914547 | Touching Lives Community, Inc. | Assisted Living Facility | 5554 Woodside Road, Se, Prior Lake, MN 55372 | 2019-10-23 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1760909519 | Terese Marie Sovis | Massage Therapist | 15140 Green Oaks Trail, Prior Lake, MN 55372 | 2017-08-23 |
| 1689805301 | Laura Grace Patton | Physician Assistant | 4151 Willowwood Street Se, Prior Lake, MN 55372 | 2009-07-29 |
| 1952582702 | Lilah Suzan Ekim Dds, Ms. Pllc | Dentist | 16190 Erie Ave Se, Prior Lake, MN 55372 | 2007-11-21 |
| 1679618326 | Basile Orthodontics Pa | Dentist | 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN 55372 | 2007-02-20 |
| 1548299167 | Darlene Merchant | Psychologist | 15815 Franklin Trail S.e., Suite 308 Darlene Merchant, M.a., L.p., Prior Lake, MN 55372 | 2006-07-03 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| 1235137076 | Barbara Clare | Marriage & Family Therapist | 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 | 2005-07-13 |
| Find all providers in zip 55372 | ||||
| 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 | PRIOR LAKE |
| Zip Code | 55372 |
Please comment or provide details below to improve the information on SHAKOPEE MDEWAKANTON EMERGENCY SERVICES.
| 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.