# SPRING GROVE AMBULANCE CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Spring Grove Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881764041
- **Authorized official:** MS. HEATHER M GRAY (TREASURER)
- **Authorized official phone:** (507) 459-1948

## Contact information

- **Practice address:** 192 W MAIN ST, SPRING GROVE, MN 55974-1444
- **Practice address phone:** (507) 498-3098
- **Mailing address:** PO BOX 122, SPRING GROVE, MN 55974-0122
- **Mailing address phone:** (507) 498-3098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 05/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 39737SP | BLUE PLUS | MN |
| 01 | — | 761367900 | MHCP | MN |