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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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