City of Walnut Grove

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0257 Issued in MN

Legal business name

CITY OF WALNUT GROVE

Practice address

311 6TH St
Walnut Grove, MN 56180-1107

Phone

(507) 859-2135

NPI assigned

Dec 15, 2006

Last updated

Oct 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Bjorklund

Title

EMS Coordinator

Phone

(507) 859-2135

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walnut Grove Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

City Office2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Walnut Grove

  dba Country View

  • Assisted Living Facility
  • Walnut Grove, MN
  • NPI 1033176854
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1073675716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "address_2": "311 6TH STREET",
            "city": "WALNUT GROVE",
            "state": "MN",
            "postal_code": "561800335",
            "telephone_number": "507-859-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 6TH ST",
            "city": "WALNUT GROVE",
            "state": "MN",
            "postal_code": "561801107",
            "telephone_number": "507-859-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WALNUT GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BJORKLUND",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "507-859-2135"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861368100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Grove Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lois E Boerboom, RN
• City of Walnut Grove (Country View)
• Bruce James Mathiason, DDS
• Minnesota Senior Care, Inc.
• Proconcierge Nursing Service, LLC
• Sanford Health Network (Sanford Clinic Walnut Grove)
• Jill Marie Stoks, PHMNP

• Land Ambulance in Walnut Grove, MN
• Providers in Walnut Grove, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.