# CITY OF WOODBURY

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

## Provider details

- **NPI number:** 1790855641
- **Authorized official:** CLINTON GRIDLEY (CITY ADMINISTRATOR)
- **Authorized official phone:** (651) 714-3521

## Contact information

- **Practice address:** 2100 RADIO DR, WOODBURY, MN 55125-9598
- **Practice address phone:** (651) 714-3500
- **Practice address fax:** (651) 714-3501
- **Mailing address:** 8301 VALLEY CREEK RD, WOODBURY, MN 55125-2320
- **Mailing address phone:** (651) 714-3500
- **Mailing address fax:** (651) 714-3501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | MN-0275 | MN | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 04/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036858001 | — | MN |
| 01 | — | 111581 | UCARE | MN |
| 01 | — | 7G268CI | BC BS OF MN | MN |
| 01 | — | 81-82027 | MEDICA | MN |