# A.L.S. AEROCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285625434
- **Authorized official:** MRS. MARY HELEN BRUNNER RN,BSN,CFN (CEO)
- **Authorized official phone:** (612) 539-2222

## Contact information

- **Practice address:** 14815 41ST AVE N, PLYMOUTH, MN 55446-2754
- **Practice address phone:** (612) 539-2222
- **Practice address fax:** (763) 572-2194
- **Mailing address:** 14815 41ST AVE N, PLYMOUTH, MN 55446-2754
- **Mailing address phone:** (612) 539-2222
- **Mailing address fax:** (763) 572-2194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | 1688 | MN | Yes |

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 03/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 198492600 | — | MN |
| 01 | — | 50P06AL | BLUE CROSS/BLUE SH | MN |
| 01 | — | 81-00029 | MEDICA | MN |