SILVER BAY AMBULANCE
NPI 1073683017
Ambulance - Land Transport in Silver Bay, MN

Active since November 08, 2006CLIA Certified · 2 labs
87 BANKS BLVD., SILVER BAY, MN 55614(218) 226-4423 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PATRICK WILLIAM LEE

Authorized Official Title
CEO DIRECTOR
Authorized Official Phone
(218) 834-7110

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
5G890TWOTHER (01)MNBCBS 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.

Reviews for SILVER BAY AMBULANCE

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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.