RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION
NPI 1770704587
Ambulance - Land Transport in Red Lake Falls, MN

Active since May 01, 2007CLIA 24D1063963 · Waiver
201 CHAMPAGNE AVE SW, RED LAKE FALLS, MN 56750(651) 653-2201 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Red Lake Falls Volunteer Ambulance Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION (NPI 1770704587) is a healthcare organization registered as a land transport in Red Lake Falls, Minnesota and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Diane Tallackson, Claims Manager, as its authorized official.

NPPES Registry Identity

NPI1770704587
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameRED LAKE FALLS VOLUNTEER AMBULANCE ASSOCIATION
Location Address201 CHAMPAGNE AVE SWRed Lake Falls, MN 56750-4003
Mailing AddressPo Box 194Red Lake Falls, MN 56750-0194 · (651) 653-2201
Organization SubpartNo
Authorized OfficialDiane TallacksonClaims Manager · (651) 653-2201
Enumeration DateMay 1, 2007
Last NPPES UpdateDecember 4, 2013
NPI 1770704587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
201 CHAMPAGNE AVE SW, Red Lake Falls, MN 56750

Other Identifiers 3

Medicare UPIN590000109MN
Other63663REMN · Bcbs
Medicaid491567400MN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1063963

Red Lake Falls Volunteer Ambulance · Red Lake Falls, MN
Active · expires Jan 24, 2027
CLIA Number24D1063963
Laboratory TypeAmbulance
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorBonnie J. Phalen
Laboratory Phone(218) 253-2035
Laboratory LocationRed Lake Falls Volunteer Ambulance201 Champagne Ave, Red Lake Falls, MN 56750
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
647 services21 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
32 services21 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red Lake Falls Volunteer Ambulance Association's NPI number?

The NPI number for Red Lake Falls Volunteer Ambulance Association is 1770704587. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Red Lake Falls Volunteer Ambulance Association located?

Red Lake Falls Volunteer Ambulance Association is located at 201 Champagne Ave SW, Red Lake Falls, MN 56750. The listed phone number is (651) 653-2201.

What is Red Lake Falls Volunteer Ambulance Association's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Red Lake Falls Volunteer Ambulance Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1063963) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Red Lake Falls Volunteer Ambulance Association was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.