# CITY OF CALEDONIA

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

## Provider details

- **NPI number:** 1609991389
- **Authorized official:** MR. MIKE TORNSTROM (AMBULANCE DIRECTOR)
- **Authorized official phone:** (507) 450-3201

## Contact information

- **Practice address:** 231 E MAIN ST, CALEDONIA, MN 55921-1396
- **Practice address phone:** (507) 725-3297
- **Mailing address:** 231 E MAIN ST, CALEDONIA, MN 55921-1396
- **Mailing address phone:** (507) 725-3450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0041 | MN | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 39880CA | BLUE CROSS BLUE SHIELD | MN |
| 05 | — | 80961900 | — | WI |