Ely Area Ambulance Service
Organization Active NPI Land Ambulance · Ely, MN
NPI 1447417217 · NPPES record last updated May 14, 2013
Key facts
- NPI
- 1447417217
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ELY AREA AMBULANCE SERVICE
- Practice address
- 328 W Conan St
Ely, MN 55731-1145 - Phone
- (218) 365-3271
- NPI assigned
- May 20, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Geoffrey M Galaski, EMTP
- Title
- Executive Ambulance
- Phone
- (218) 365-6322
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090106000341 | MN | Part B Supplier - Ambulance Service Supplier | 0840353694 | Practice locations: Ely, MN |
National Provider Directory
Locations
205 N Central Ave
Ely, MN 55731
Phone (218) 365-6322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
328 W Conan St
Ely, MN 55731-1145
Mailing address
PO Box 629
Ely, MN 55731
Phone (218) 365-6322
Other providers in Ely, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2013. 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.