# MEDS-1 AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1861583130
- **Authorized official:** MR. WILLIAM KEVIN MCNICHOLS (OWNER)
- **Authorized official phone:** (218) 326-0020

## Contact information

- **Practice address:** 1328 NW 5TH STREET, GRAND RAPIDS, MN 55744
- **Practice address phone:** (218) 326-0020
- **Practice address fax:** (218) 326-1402
- **Mailing address:** 1328 NW 5TH STREET, GRAND RAPIDS, MN 55744
- **Mailing address phone:** (218) 326-0020
- **Mailing address fax:** (218) 326-1402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0319 | MN | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 05/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 280268600 | — | MN |