Active NPI
City of Browns Valley
Doing business as Browns Valley Ambulance
- Land Ambulance
- Browns Valley, MN
National Provider Identifier
1003976820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0037
- Legal business name
- CITY OF BROWNS VALLEY
- Doing business as
- Browns Valley Ambulance
- Practice address
- 10 Third St. S
Browns Valley, MN 56219 - Phone
- (218) 233-5658
- NPI assigned
- Dec 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candace Duffield
- Title
- Ambulance Coordinator
- Phone
- (320) 695-2110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0037 | MN | Primary |
Addresses
Primary practice location
10 Third St. S
Browns Valley, MN 56219
Mailing address
PO Box 334
Browns Valley, MN 56219-0334
Phone (218) 233-5658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49388CI | Other | MN | BLUE CROSS BLUE SHIELD |
Other names 1
- Browns Valley Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120227000540 | MN | Part B Supplier - Ambulance Service Supplier | 6709044472 | Practice locations: Browns Valley, MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003976820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 334",
"city": "BROWNS VALLEY",
"state": "MN",
"postal_code": "562190334",
"telephone_number": "218-233-5658",
"fax_number": "218-233-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 THIRD ST. S",
"city": "BROWNS VALLEY",
"state": "MN",
"postal_code": "56219",
"telephone_number": "218-233-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF BROWNS VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUFFIELD",
"authorized_official_first_name": "CANDACE",
"authorized_official_title_or_position": "AMBULANCE COORDINATOR",
"authorized_official_telephone_number": "320-695-2110"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MN",
"license": "0037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "49388CI",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Browns Valley Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Browns Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.