NPI 1457901506 · live from the CMS NPI Registry
Centracare Health System
Ambulance in Big Lake, MN. National Provider Identifier 1457901506, active.
NPI record
| NPI | 1457901506 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | 121 Lake St N, Big Lake, MN 55309 |
| Practice phone | 320-251-2700 |
| Mailing address | Po Box 735816, Chicago, IL 60673 |
| Enumerated | September 19, 2019 |
| Last updated | September 17, 2026 |
| Authorized official | Michael Blair, Cfo |
| Other names | Centracare Emergency Medical Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine, Emergency Medical Services | 207PE0004X | — |
| Ambulance primary | 341600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.