Provider Demographics
NPI:1477638658
Name:ADAMS AREA AMBULANCE SERVICE JOINT POWERS BOARD
Entity Type:Organization
Organization Name:ADAMS AREA AMBULANCE SERVICE JOINT POWERS BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-756-1649
Mailing Address - Street 1:PO BOX 89
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:MN
Mailing Address - Zip Code:55909-0089
Mailing Address - Country:US
Mailing Address - Phone:612-756-1649
Mailing Address - Fax:
Practice Address - Street 1:16 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:MN
Practice Address - Zip Code:55909-5002
Practice Address - Country:US
Practice Address - Phone:507-582-3601
Practice Address - Fax:507-582-3589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00023416L0300X
MN19083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN160237OtherUCARE MN
MN060508002OtherMETROPOLITAN HEALTH PLAN
MN32003ADOtherBCBS OF MN
MN88619OtherMAYO MANAGEMENT SERVICES
MN520768100Medicaid
TX8183059OtherMEDICA INS CO
MN520768100Medicaid
NE=========OtherMUTUAL OF OMAHA COMPANIES
TX8183059OtherMEDICA INS CO
IA=========OtherBANKERS LIFE & CASUALTY C
NE=========OtherPHYSICIANS MUTUAL INS CO
TX8183059OtherMEDICA INS CO