# CITY OF WINNEBAGO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Winnebago Area Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629192422
- **Authorized official:** RICHARD CHARLES MAURIS (AMBULANCE BILLING DEPARTMENT)
- **Authorized official phone:** (507) 893-3217

## Contact information

- **Practice address:** 140 SOUTH MAIN, WINNEBAGO, MN 56098-0035
- **Practice address phone:** (507) 893-3217
- **Practice address fax:** (507) 893-3473
- **Mailing address:** 140 MAIN SOUTH, PO BOX 35, WINNEBAGO, MN 56098-0035
- **Mailing address phone:** (507) 893-3217
- **Mailing address fax:** (507) 893-3473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | 0271 | MN | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020