Active NPI
City of Cannon Falls
Doing business as Cannon Falls Ambulance
- Land Ambulance
- Cannon Falls, MN
National Provider Identifier
1477613768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0044
- Legal business name
- CITY OF CANNON FALLS
- Doing business as
- Cannon Falls Ambulance
- Practice address
- 918 River Rd
Cannon Falls, MN 55009-1447 - Phone
- (218) 233-5658
- Fax
- (218) 233-7630
- NPI assigned
- Dec 10, 2006
- Last updated
- Nov 14, 2025
- 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
- Tim Malchow
- Title
- EMS Director
- Phone
- (507) 263-7027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0044 | MN | Primary |
Addresses
Primary practice location
918 River Rd
Cannon Falls, MN 55009-1447
Mailing address
918 River Rd
Cannon Falls, MN 55009-1447
Phone (507) 263-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323067800 | Medicaid | MN | |
| 31023AM | Other | MN | BLUE CROSS BLUE SHIELD |
Other names 1
- Cannon Falls Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050928000214 | MN | Part B Supplier - Ambulance Service Supplier | 1759311509 | Practice locations: Cannon Falls, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0959980 | Cannon Falls Ambulance Service | Certificate of waiver | Apr 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
306 Mill St W
Cannon Falls, MN 55009
Phone (507) 263-2278
322 Hoffman St W
Cannon Falls, MN 55009
Phone (507) 263-7027
918 River Rd
Cannon Falls, MN 55009
Phone 50726393009360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1477613768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 RIVER RD",
"city": "CANNON FALLS",
"state": "MN",
"postal_code": "550091447",
"telephone_number": "507-263-9300",
"fax_number": "507-263-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 RIVER RD",
"city": "CANNON FALLS",
"state": "MN",
"postal_code": "550091447",
"telephone_number": "218-233-5658",
"fax_number": "218-233-7630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CANNON FALLS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-10",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "MALCHOW",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "507-263-7027"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MN",
"license": "0044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323067800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31023AM",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cannon Falls Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cannon Falls Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cannon Falls, MN
- Cannon Falls Nursing Rehabilitation, LLC (The Gardens at Cannon Falls)
- Cannon Falls Snyder Phcy Inc
- Cannon Valley Chiropractic,LLC
- Chasing Life-With Kala Marie
- Evie Christensen
- Compass Dental PA
- Fiona Ethel Demel, D.C.
- David G Detert, MD
- Fiona E. Fletcher D.C. LTD. (Body Works Clinic)
- Jennifer Lynn Fogarty, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.