National Provider Identifier Database

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
2525 FLANDREAU TRAIL
PRIOR LAKE, MN55372
Phone: 952-233-1077
Fax:
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

NPI Number 1700890134
Legal business name
LBN
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Authorized official STANLEY CROOKS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/28/2006
Last updated 01/20/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 113488400
  • MN Other: 77M49SH BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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