# CITY OF ADRIAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adrian Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023178845
- **Authorized official:** SARAH LENZ (DEPUTY CLERK)
- **Authorized official phone:** (507) 483-2849

## Contact information

- **Practice address:** 310 MAINE AVENUE, ADRIAN, MN 56110
- **Practice address phone:** (218) 233-5658
- **Mailing address:** PO BOX 190, ADRIAN, MN 56110-0190
- **Mailing address phone:** (507) 483-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0003 | MN | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 09/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 48006AD | BLUE CROSS BLUE SHIELD | MN |
| 05 | — | 766102900 | — | MN |