# CITY OF LAKE CRYSTAL

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

## Provider details

- **NPI number:** 1679584205
- **Authorized official:** RHONDA TRUMAN-INGEBRITSON (AMBULANCE DIRECTOR)
- **Authorized official phone:** (507) 995-6205

## Contact information

- **Practice address:** 181 S HUNT STREET, LAKE CRYSTAL, MN 56055-0086
- **Practice address phone:** (507) 726-2538
- **Practice address fax:** (507) 726-2265
- **Mailing address:** 100 EAST ROBINSON STREET, P.O. BOX 86, LAKE CRYSTAL, MN 56055-0086
- **Mailing address phone:** (507) 726-2538
- **Mailing address fax:** (507) 726-2265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0127 | MN | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 181767100 | — | MN |
| 01 | — | 590095208 | RAILROAD MEDICARE | — |