Provider Demographics
NPI:1003982273
Name:CART AMBULANCE, INC
Entity Type:Organization
Organization Name:CART AMBULANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-823-5000
Mailing Address - Street 1:2900 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2447
Mailing Address - Country:US
Mailing Address - Phone:612-823-5000
Mailing Address - Fax:612-823-5048
Practice Address - Street 1:2900 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2447
Practice Address - Country:US
Practice Address - Phone:612-823-5000
Practice Address - Fax:612-823-5048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0401341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN70618OtherHEALTHPARTNERS
MN1A990CAOtherBLUE CROSS
MN150056OtherUCARE
MN8100004OtherMEDICA