City of Minnesota Lake
NPI 1710127139ActiveOrganization· Ambulance· Minnesota Lake, MN
Ambulance in Minnesota Lake, Minnesota, registered in NPPES in February 2009. The authorized official on file is David Radtke, Director. Medicare paid $15,756 for services to 19 patients in 2024.
Overview
| NPI | 1710127139 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2009 |
| Last updated in NPPES | Apr 22, 2025 |
| Certified by provider | Apr 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ambulance Primary | 341600000X | 0163 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulance Service Supplier (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 658 across 3 procedure codes |
| Paid by Medicare | $15,756 |