# GRAND PORTAGE RESERVATION BUSINESS COMMITTEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRAND PORTAGE AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114003795
- **Authorized official:** MR. ROBERT DESCHAMPE (CHAIRMAN)
- **Authorized official phone:** (218) 475-2277

## Contact information

- **Practice address:** 62 UPPER RD, GRAND PORTAGE, MN 55605-3010
- **Practice address phone:** (218) 475-2235
- **Practice address fax:** (218) 475-2261
- **Mailing address:** 62 UPPER RD, GRAND PORTAGE, MN 55605-3010
- **Mailing address phone:** (218) 475-2235
- **Mailing address fax:** (218) 475-2261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0321 | MN | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 11/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 283767600 | — | MN |