Organization Active NPI

Winthrop Ambulance Service

  • Land Ambulance
  • Winthrop, MN
National Provider Identifier
1801956644
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0274 Issued in MN
Legal business name
WINTHROP AMBULANCE SERVICE
Doing business as
Winthrop Ambulance Service
Practice address
305 North Main Street
Winthrop, MN 55396
Phone
(507) 647-5306
NPI assigned
Dec 11, 2006
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Heather Haun
Title
Clerk/Treasurer
Phone
(507) 647-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0274 MN Primary

Addresses

Primary practice location

305 North Main Street
Winthrop, MN 55396

Mailing address

PO Box Y
Winthrop, MN 55396-0510
Phone (507) 647-5306

Other identifiers 2

IdentifierTypeStateIssuer
183069400MedicaidMN
43356WIOtherMNBLUE CROSS BLUE SHIELD

Other names 1

  • Winthrop 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
O20110318000747 MN Part B Supplier - Ambulance Service Supplier 8921281536 Practice locations: Winthrop, MN

National Provider Directory

National Provider Directory

Locations

305 N Main St
Winthrop, MN 55396
Phone (507) 647-5306

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1801956644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX Y",
            "city": "WINTHROP",
            "state": "MN",
            "postal_code": "553960510",
            "telephone_number": "507-647-5306",
            "fax_number": "507-647-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NORTH MAIN STREET",
            "city": "WINTHROP",
            "state": "MN",
            "postal_code": "55396",
            "telephone_number": "507-647-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "HAUN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CLERK/TREASURER",
        "authorized_official_telephone_number": "507-647-5306"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183069400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43356WI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winthrop Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winthrop Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winthrop, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.