Healthcare Provider Details

I. General information

NPI: 1033321831
Provider Name (Legal Business Name): EYOTA VOLUNTEER AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 140TH AVE SE
EYOTA MN
55934-2906
US

IV. Provider business mailing address

950 140TH AVE SE
EYOTA MN
55934-2906
US

V. Phone/Fax

Practice location:
  • Phone: 507-951-5826
  • Fax: 218-520-0906
Mailing address:
  • Phone: 507-951-5826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateMN

VIII. Authorized Official

Name: VICKI ARENDT
Title or Position: BOOKKEEPER
Credential:
Phone: 507-951-5826