Organization · Type 2 NPI

Grand Portage Reservation Business Committee

Land Ambulance · Grand Portage, MN

NPI number 1114003795 Active

Practice location

62 Upper Rd
Grand Portage, MN 55605-3010

Fax (218) 475-2261

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X0321 (MN)

Land Ambulance: Definition to come...

Another provider at this address

About NPI 1114003795

Grand Portage Reservation Business Committee's National Provider Identifier is 1114003795, issued on Oct 27, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Grand Portage, MN. The record was last updated on Nov 12, 2025.