Active NPI
Parkers Prairie Community Ambulance
- Land Ambulance
- Parkers Prairie, MN
National Provider Identifier
1053471888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0188
- Legal business name
- PARKERS PRAIRIE COMMUNITY AMBULANCE
- Practice address
- 102 North Otter Avenue
Parkers Prairie, MN 56361 - Phone
- (218) 233-5658
- NPI assigned
- Dec 11, 2006
- 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
- Ashlee Stewart
- Title
- Director
- Phone
- (218) 338-4357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0188 | MN | Primary |
Addresses
Primary practice location
102 North Otter Avenue
Parkers Prairie, MN 56361
Mailing address
PO Box 115
Parkers Prairie, MN 56361-0115
Phone (218) 233-5658
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043767100 | Medicaid | MN | |
| 1A368PA | Other | MN | BLUE CROSS BLUE SHIELD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1040152 | Parkers Prairie Community Ambulance | Certificate of waiver | May 1, 2027 |
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": "1784851200000",
"number": "1053471888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "PARKERS PRAIRIE",
"state": "MN",
"postal_code": "563610115",
"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": "102 NORTH OTTER AVENUE",
"city": "PARKERS PRAIRIE",
"state": "MN",
"postal_code": "56361",
"telephone_number": "218-233-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKERS PRAIRIE COMMUNITY AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "ASHLEE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "218-338-4357"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MN",
"license": "0188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043767100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1A368PA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkers Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.