NPIMap

Organization Active NPI

Lake County Ambulance

  • Land Ambulance
  • Silver Bay, MN
National Provider Identifier
1073683017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0230 Issued in MN
Legal business name
LAKE COUNTY AMBULANCE
Practice address
87 Banks Blvd.
Silver Bay, MN 55614-0066
Phone
(218) 226-4423
NPI assigned
Nov 8, 2006
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
Mr. Patrick William Lee
Title
Ceo Director
Phone
(218) 834-7110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0230 MN Primary

Addresses

Primary practice location

87 Banks Blvd.
Silver Bay, MN 55614-0066

Mailing address

421 20TH Ave
Two Harbors, MN 55616-1364
Phone (218) 834-7110

Other identifiers 1

IdentifierTypeStateIssuer
5G890TWOtherMNBCBS OF MN

Other names 1

  • SILVER BAY AMBULANCE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake County Ambulance2 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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073683017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 20TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161364",
            "telephone_number": "218-834-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 BANKS BLVD.",
            "city": "SILVER BAY",
            "state": "MN",
            "postal_code": "556140066",
            "telephone_number": "218-226-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO DIRECTOR",
        "authorized_official_telephone_number": "218-834-7110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "5G890TW",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER BAY AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Bay, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.