Organization
CITY OF WOODBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON GRIDLEY (CITY ADMINISTRATOR)
(651) 714-3521
Entity
Organization
Contact information
Practice address
2100 RADIO DR, WOODBURY, MN 55125-9598
(651) 714-3500
(651) 714-3501
Mailing address
8301 VALLEY CREEK RD, WOODBURY, MN 55125-2320
(651) 714-3500
(651) 714-3501
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
MN-0275
MN
Other
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
Enumeration date
11/08/2006
Last updated
04/08/2026
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