Lewisville Ambulance Service
Organization Active NPI Ambulance · Lewisville, MN
NPI 1447115381 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1447115381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- LEWISVILLE AMBULANCE SERVICE
- Practice address
- 321 Lewis St. W
Lewisville, MN 56060 - Phone
- (507) 508-4300
- NPI assigned
- Dec 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Kelly Blaine Pults, DHA, MSN, RN, NREMT
- Title
- Treasurer and Emt
- Phone
- (303) 908-2833
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260205002759 | MN | Part B Supplier - Ambulance Service Supplier | 1557840022 | Practice locations: Lewisville, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
321 Lewis St. W
Lewisville, MN 56060
Mailing address
PO Box 142
Lewisville, MN 56060-0142
Phone (507) 508-4300
Other providers in Lewisville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.