City of Cottage Grove

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0059 Issued in MN

Legal business name

CITY OF COTTAGE GROVE

Practice address

12800 Ravine Pkwy
Cottage Grove, MN 55016-6103

Phone

(651) 458-2850

Fax

(336) 791-0195

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Jon Pritchard

Title

Director

Phone

(651) 458-2850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cottage Grove EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1831245851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860733",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860733",
            "telephone_number": "651-458-2850",
            "fax_number": "336-791-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 RAVINE PKWY",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166103",
            "telephone_number": "651-458-2850",
            "fax_number": "336-791-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COTTAGE GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-458-2850"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311067200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Grove EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cottage Grove EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Beiler D.C., P.a.
• Sue Ann Chamberlain
• Shaswita Chintalpuri, MD
• Victoria Chiou, M.D.
• Frances E Churchill
• Casandra Jewel Clark
• Comfortcare Services Co
• Consilon
• Ann R Cook, BA, LADC
• Cottage Grove Chiropractic Clinic, PA

• Land Ambulance in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Land Ambulance in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.