Active NPI
Ely Area Ambulance Service
- Land Ambulance
- Ely, MN
National Provider Identifier
1447417217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
- Last updated
- May 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Geoffrey M Galaski, EMTP
- Title
- Executive Ambulance
- Phone
- (218) 365-6322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
328 W Conan St
Ely, MN 55731-1145
Mailing address
PO Box 629
Ely, MN 55731
Phone (218) 365-6322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090106000341 | MN | Part B Supplier - Ambulance Service Supplier | 0840353694 | Practice locations: Ely, MN |
National Provider Directory
National Provider DirectoryLocations
205 N Central Ave
Ely, MN 55731
Phone (218) 365-6322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368489600000",
"number": "1447417217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 629",
"city": "ELY",
"state": "MN",
"postal_code": "55731",
"telephone_number": "218-365-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 W CONAN ST",
"city": "ELY",
"state": "MN",
"postal_code": "557311145",
"telephone_number": "218-365-3271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELY AREA AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2013-05-14",
"status": "A",
"authorized_official_last_name": "GALASKI",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE AMBULANCE",
"authorized_official_telephone_number": "218-365-6322",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMTP"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ely, MN
- Edward W Ciriacy, MD
- Crystal Chopp, DDS, PLLC (Ely Family Dental)
- Karan Dally
- Earth Elements Acupuncture & Wellness
- Molly Sue Edwards, APRN, CNP
- Ely Bloomenson Community Hospital & Nursing Home
- Ely Bloomenson Community Hospital and Nursing Home
- Ely Carefree Living
- Ely Chiropractic Clinic
- Ely Community Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.