Organization Active NPI

City of Browns Valley

Doing business as Browns Valley Ambulance

  • Land Ambulance
  • Browns Valley, MN
National Provider Identifier
1003976820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0037 Issued in MN
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
49388CIOtherMNBLUE CROSS BLUE SHIELD

Other names 1

  • Browns Valley Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000540 MN Part B Supplier - Ambulance Service Supplier 6709044472 Practice locations: Browns Valley, MN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.