Healthcare Provider Details

I. General information

NPI: 1801956644
Provider Name (Legal Business Name): WINTHROP AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 NORTH MAIN STREET
WINTHROP MN
55396
US

IV. Provider business mailing address

PO BOX Y
WINTHROP MN
55396-0510
US

V. Phone/Fax

Practice location:
  • Phone: 507-647-5306
  • Fax:
Mailing address:
  • Phone: 507-647-5306
  • Fax: 507-647-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0274
License Number StateMN

VIII. Authorized Official

Name: HEATHER HAUN
Title or Position: CLERK/TREASURER
Credential:
Phone: 507-647-5306