Organization Active NPI

Loon Lake EMS, LLC

  • Land Ambulance
  • Minneapolis, MN
National Provider Identifier
1689567646
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LOON LAKE EMS, LLC
Practice address
433 S 7TH St Apt 1801
Minneapolis, MN 55415-1641
Phone
(406) 334-4005
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Authorized official

Name
Michael Joseph Merrell, NREMT
Title
Managing Member
Phone
(406) 334-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

433 S 7TH St Apt 1801
Minneapolis, MN 55415-1641

Mailing address

433 S 7TH St Apt 1801
Minneapolis, MN 55415-1641
Phone (406) 334-4005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751673600000",
    "number": "1689567646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S 7TH ST APT 1801",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151641",
            "telephone_number": "406-334-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S 7TH ST APT 1801",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151641",
            "telephone_number": "406-334-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOON LAKE EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "406-334-4005",
        "authorized_official_credential": "NREMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.