Organization
WINONA AREA AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALLEN (BOARD OF DIRECTORS-TREASURER)
(507) 457-4156
Entity
Organization
Contact information
Practice address
370 WEST 2ND STREET, SUITE 300, WINONA, MN 55987
(507) 452-5351
(507) 452-0764
Mailing address
370 WEST 2ND STREET, SUITE 300, WINONA, MN 55987
(507) 452-5351
(507) 452-0764
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0272
MN
3416L0300X
Land Ambulance
6001363
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165217600
—
MN
05
—
41353600
—
WI
01
—
7G848WI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/03/2006
Last updated
05/08/2012
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