# ELK RIVER FIRE & AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1548366248
- **Authorized official:** MR. STEVEN LEE DITTBENNER PARAMEDIC (AMBULANCE COORDINATOR)
- **Authorized official phone:** (763) 441-2733

## Contact information

- **Practice address:** 415 JACKSON AVE NW, ELK RIVER, MN 55330-1327
- **Practice address phone:** (763) 441-2733
- **Practice address fax:** (763) 441-4050
- **Mailing address:** 415 JACKSON AVE NW, ELK RIVER, MN 55330-1327
- **Mailing address phone:** (763) 441-2733
- **Mailing address fax:** (763) 441-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 073 | MN | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1007550 | PREFERRED ONE | MN |
| 01 | — | 106310 | U-CARE | MN |
| 01 | — | 38849EL | BLUE CROSS | MN |
| 01 | — | 8180255 | MEDICA PRIMARY | MN |
| 01 | — | 8181676 | MEDICA CHOICE | MN |