Active NPI
City of Cottonwood
Doing business as Cottonwood Ambulance Service
- Land Ambulance
- Cottonwood, MN
National Provider Identifier
1073500427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 060
- Legal business name
- CITY OF COTTONWOOD
- Doing business as
- Cottonwood Ambulance Service
- Practice address
- 100 West 2ND Street South
Cottonwood, MN 56229-0106 - Phone
- (507) 423-6488
- Fax
- (507) 992-0009
- NPI assigned
- Sep 30, 2005
- Last updated
- Dec 22, 2025
- 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
- Leeann Boehne, NREMT-P
- Title
- Director
- Phone
- (507) 828-1244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 060 | MN | Primary |
Addresses
Primary practice location
100 West 2ND Street South
Cottonwood, MN 56229-0106
Mailing address
231 W Main St
Cottonwood, MN 56229-2121
Phone (507) 423-6488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902867600 | Medicaid | MN | |
| 48189CO | Other | MN | BCBS |
Other names 1
- Cottonwood Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100310000969 | MN | Part B Supplier - Ambulance Service Supplier | 5698810927 | Practice locations: Cottonwood, MN |
National Provider Directory
National Provider DirectoryLocations
111 Barstad Rd S
Cottonwood, MN 56229
86 W Main St
Cottonwood, MN 56229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766361600000",
"number": "1073500427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 W MAIN ST",
"city": "COTTONWOOD",
"state": "MN",
"postal_code": "562292121",
"telephone_number": "507-423-6488",
"fax_number": "507-992-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WEST 2ND STREET SOUTH",
"city": "COTTONWOOD",
"state": "MN",
"postal_code": "562290106",
"telephone_number": "507-423-6488",
"fax_number": "507-992-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF COTTONWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A",
"authorized_official_last_name": "BOEHNE",
"authorized_official_first_name": "LEEANN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "507-828-1244",
"authorized_official_credential": "NREMT-P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MN",
"license": "060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "902867600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "48189CO",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cottonwood Ambulance Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cottonwood Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cottonwood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.