Spring Grove Ambulance Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SPRING GROVE AMBULANCE CORPORATION

Doing business as

Spring Grove Ambulance Service

Practice address

192 W Main St
Spring Grove, MN 55974-1444

Phone

(507) 498-3098

NPI assigned

Nov 8, 2006

Last updated

May 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Heather M Gray

Title

Treasurer

Phone

(507) 459-1948

Specialties & licenses 1

Addresses

Other names 1

• Spring Grove Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1881764041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "SPRING GROVE",
            "state": "MN",
            "postal_code": "559740122",
            "telephone_number": "507-498-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 W MAIN ST",
            "city": "SPRING GROVE",
            "state": "MN",
            "postal_code": "559741444",
            "telephone_number": "507-498-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GROVE AMBULANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "507-459-1948",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Grove Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gundersen Clinic LTD
• Independent School District #297
• Rushford Drug Company (Witt's Pharmacy - Spring Grove)
• Charity Lyn Schroeder, OTR/L
• Amanda Rae Schuttemeier, PHARMD
• Spring Grove Assisted Living LLC
• Spring Grove Family Chiropractic, PA
• The Reflective Haven LLC
• Molly E Thomas, NP
• Gregory N Tjossem, M.D.

• Land Ambulance in Spring Grove, MN
• Providers in Spring 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 May 9, 2024; 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.