SILVER BAY AMBULANCE
NPI 1073683017
Ambulance - Land Transport in Silver Bay, MN
- Organization
- Ambulance
- Land Transport
- CLIA Number: 24D2023897
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 05-03-2027
About SILVER BAY AMBULANCE
This page provides the complete NPI Profile along with additional information for Silver Bay Ambulance, a provider established in Silver Bay, Minnesota operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1073683017 assigned on November 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 0230 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Silver Bay Ambulance. The authorized official of this NPI record is Mr. Patrick William Lee (Ceo Director)
- NPI
- 1073683017 Verify this NPI
- Provider Legal Name
- LAKE COUNTY AMBULANCE
- Other Organization Name
- SILVER BAY AMBULANCE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 87 BANKS BLVD. SILVER BAY, MN 55614
- Location Phone
- (218) 226-4423
- Mailing Address
- 421 20TH AVE TWO HARBORS, MN 55616
- Mailing Phone
- (218) 834-7110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ambulance Land Transport
- Taxonomy Code
- 3416L0300X
- Type
- Transportation Services
- License No.
- 0230
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5G890TW | OTHER (01) | MN | BCBS OF MN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2023897
- Facility Type
- Ambulance
- Certificate Effective Date
- May 04, 2025
- Certificate Expiration Date
- May 03, 2027
- Laboratory Director
- JULIA SHEPERSKY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Silver Bay Ambulance to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073683017, enumerated as an "organization" on November 08, 2006.
The provider is located at 87 BANKS BLVD. SILVER BAY, MN 55614 and the phone number is (218) 226-4423.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.