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NPI Code Detail

MEDICARE: CITY OF CANNON FALLS

MEDICARE: CITY OF CANNON FALLS
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
13416L0300XLand Ambulance0044MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
231023AMOTHERMNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1477613768
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF CANNON FALLS
Provider Business Mailing Address
First Line : 918 RIVER RD
Second Line :
City : CANNON FALLS
State : MN
Zip : 55009-1447
Country : US
Telephone Number : 507-263-9300
Fax Number : 507-263-2634
Provider Business Practice Location Address
First Line : 918 RIVER RD
Second Line :
City : CANNON FALLS
State : MN
Zip : 55009-1447
Country : US
Telephone Number : 218-233-5658
Fax Number : 218-233-7630
Authorized Official
Title or Position : EMS DIRECTOR
Name : TIM MALCHOW
Credential :
Telephone Number : 507-263-7027
Provider Enumeration Date : 12/10/2006
Last Update Date : 11/14/2025

Similar Medicare Providers

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Practice Fax:
1841290921 — CANNON FALLS SNYDER PHCY INC
Practice Location Address:
31265 COUNTY 24 BLVD
CANNON FALLS, MN
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Practice Fax: 507-263-0740
1356343230 — DR. DANIEL CURTIS CALLSTROM D.D.S.
Practice Location Address:
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1851373716 — SCOFIELD DRUG AND GIFT, INC.
Practice Location Address:
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Directions to “CITY OF CANNON FALLS ” Practice Location

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