NPIMap

Organization Active NPI

City of Spring Valley

Doing business as Spring Valley Ambulance Service

  • Ambulance
  • Spring Valley, MN
National Provider Identifier
1497751176
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
238 Issued in MN
Legal business name
CITY OF SPRING VALLEY
Doing business as
Spring Valley Ambulance Service
Practice address
100 Emergecny Drive
Spring Valley, MN 55975
Phone
(507) 346-7414
Fax
(507) 346-7620
NPI assigned
Jun 27, 2005
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Lee Zimmer
Title
Administrator
Phone
(507) 346-7367

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 238 MN Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

100 Emergecny Drive
Spring Valley, MN 55975

Mailing address

201 S Broadway St
Spring Valley, MN 55975-1301
Phone (507) 346-7414

Other identifiers 1

IdentifierTypeStateIssuer
456367100MedicaidMN

Other names 1

  • Spring Valley Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100416000659 MN Part B Supplier - Ambulance Service Supplier 1850428228 Practice locations: Spring Valley, MN

National Provider Directory

National Provider Directory

Locations

201 S Broadway St
Spring Valley, MN 55975

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1497751176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BROADWAY ST",
            "city": "SPRING VALLEY",
            "state": "MN",
            "postal_code": "559751301",
            "telephone_number": "507-346-7414",
            "fax_number": "507-346-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMERGECNY DRIVE",
            "city": "SPRING VALLEY",
            "state": "MN",
            "postal_code": "55975",
            "telephone_number": "507-346-7414",
            "fax_number": "507-346-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SPRING VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-346-7367"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "238",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "456367100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Valley Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.

Verify at the official NPI Registry.