Ellendale Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0074 Issued in MN

Legal business name

ELLENDALE AMBULANCE SERVICE

Practice address

201 3Rd St.
Ellendale, MN 56026

Phone

(507) 688-2745

NPI assigned

Jul 12, 2007

Last updated

Aug 10, 2018By 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

Steve Carroll Louks

Title

Director

Phone

(507) 688-2745

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1972702876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "ELLENDALE",
            "state": "MN",
            "postal_code": "560260172",
            "telephone_number": "507-688-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 3RD ST.",
            "city": "ELLENDALE",
            "state": "MN",
            "postal_code": "56026",
            "telephone_number": "507-688-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENDALE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "LOUKS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-688-2745"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M811992900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All Generations Home Care, Inc.
• Ameritus Ellendale Opco LLC
• Edna Callahan
• Megamar, Inc. (Tri State Lift)
• Connie L. Meyer, M.S., CCC-SLP
• Melissa Rae Moreland Karl, RN, HWC
• Amanda Sommer, OTR/L

• Land Ambulance in Ellendale, MN
• Providers in Ellendale, 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 10, 2018; 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.