MEDICARE: CITY OF WALNUT GROVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	0257	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073675716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF WALNUT GROVE

Provider Business Mailing Address
First Line	:	PO BOX 335
Second Line	:	311 6TH STREET
City	:	WALNUT GROVE
State	:	MN
Zip	:	56180-0335
Country	:	US
Telephone Number	:	507-859-2135
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 6TH ST
Second Line	:
City	:	WALNUT GROVE
State	:	MN
Zip	:	56180-1107
Country	:	US
Telephone Number	:	507-859-2135
Fax Number	:

Authorized Official
Title or Position	:	EMS COORDINATOR
Name	:	ELIZABETH BJORKLUND
Credential	:
Telephone Number	:	507-859-2135

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	10/23/2025

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Directions to “CITY OF WALNUT GROVE ” Practice Location

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