Organization Active NPI

City of Cottonwood

Doing business as Cottonwood Ambulance Service

  • Land Ambulance
  • Cottonwood, MN
National Provider Identifier
1073500427
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
060 Issued in MN
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
902867600MedicaidMN
48189COOtherMNBCBS

Other names 1

  • Cottonwood Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100310000969 MN Part B Supplier - Ambulance Service Supplier 5698810927 Practice locations: Cottonwood, MN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.