NPI 1114003795 · live from the CMS NPI Registry
Grand Portage Reservation Business Committee
Ambulance, Land Transport in Grand Portage, MN. National Provider Identifier 1114003795, active.
NPI record
| NPI | 1114003795 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 62 Upper Rd, Grand Portage, MN 55605 |
| Practice phone | 218-475-2235 |
| Enumerated | October 27, 2006 |
| Last updated | November 12, 2025 |
| Authorized official | Robert Deschampe, Chairman |
| Other names | Grand Portage Ambulance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 0321 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.