# CITY OF CANNON FALLS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cannon Falls Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477613768
- **Authorized official:** TIM MALCHOW (EMS DIRECTOR)
- **Authorized official phone:** (507) 263-7027

## Contact information

- **Practice address:** 918 RIVER RD, CANNON FALLS, MN 55009-1447
- **Practice address phone:** (218) 233-5658
- **Practice address fax:** (218) 233-7630
- **Mailing address:** 918 RIVER RD, CANNON FALLS, MN 55009-1447
- **Mailing address phone:** (507) 263-9300
- **Mailing address fax:** (507) 263-2634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0044 | MN | Yes |

## Other

- **Enumeration date:** 12/10/2006
- **Last updated:** 11/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 31023AM | BLUE CROSS BLUE SHIELD | MN |
| 05 | — | 323067800 | — | MN |