Healthcare Provider Details

I. General information

NPI: 1841362761
Provider Name (Legal Business Name): CITY OF WEST CONCORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 MAIN ST
WEST CONCORD MN
55985-2040
US

IV. Provider business mailing address

315 W MAIN ST P O BOX 586
WEST CONCORD MN
55985-0586
US

V. Phone/Fax

Practice location:
  • Phone: 507-527-2176
  • Fax:
Mailing address:
  • Phone: 507-527-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number0265
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM C LA PLOUNT
Title or Position: AMBULANCE DIRECTOR
Credential: NREMT-P
Phone: 507-774-2583