# CITY OF WABASHA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wabasha Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558421842
- **Authorized official:** RYAN MARKING (DIRECTOR)
- **Authorized official phone:** (515) 565-2633

## Contact information

- **Practice address:** 129 HIAWATHA DR W, WABASHA, MN 55981
- **Practice address phone:** (651) 565-2633
- **Mailing address:** 900 HIAWATHA DR E, WABASHA, MN 55981-1731
- **Mailing address phone:** (218) 233-5658
- **Mailing address fax:** (218) 233-7630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0251 | MN | Yes |

## Other

- **Enumeration date:** 12/10/2006
- **Last updated:** 05/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 36052CI | BLUE CROSS BLUE SHIELD | MN |
| 05 | — | 695767600 | — | MN |
