# WINONA AREA AMBULANCE SERVICE, INC.

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

## Provider details

- **NPI number:** 1659466043
- **Authorized official:** MR. MICHAEL ALLEN (BOARD OF DIRECTORS-TREASURER)
- **Authorized official phone:** (507) 457-4156

## Contact information

- **Practice address:** 370 WEST 2ND STREET, SUITE 300, WINONA, MN 55987
- **Practice address phone:** (507) 452-5351
- **Practice address fax:** (507) 452-0764
- **Mailing address:** 370 WEST 2ND STREET, SUITE 300, WINONA, MN 55987
- **Mailing address phone:** (507) 452-5351
- **Mailing address fax:** (507) 452-0764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0272 | MN | Yes |
| 3416L0300X | Land Ambulance | 6001363 | WI | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 05/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 165217600 | — | MN |
| 05 | — | 41353600 | — | WI |
| 01 | — | 7G848WI | BLUE CROSS BLUE SHIELD | MN |