Organization Active NPI

City of Cannon Falls

Doing business as Cannon Falls Ambulance

  • Land Ambulance
  • Cannon Falls, MN
National Provider Identifier
1477613768
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0044 Issued in MN
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
323067800MedicaidMN
31023AMOtherMNBLUE CROSS BLUE SHIELD

Other names 1

  • Cannon Falls Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928000214 MN Part B Supplier - Ambulance Service Supplier 1759311509 Practice locations: Cannon Falls, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0959980Cannon Falls Ambulance Service918 River Road, Cannon Falls, MN 55009Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.