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Organization
GREAT PLAINS EMS, INC.
Active
Organization
GREAT PLAINS EMS, INC.
Active
Other names
Great Plains EMS, Crookston Branch
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE TALLACKSON (CLAIMS MANAGER)
(218) 281-6332
Entity
Organization
Contact information
Practice address
201 W LORING ST, CROOKSTON, MN 56716-1943
(218) 281-6332
Mailing address
PO BOX 388, THIEF RIVER FALLS, MN 56701-0388
(218) 281-6332
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G858GR
BCBS PROVIDER NUMBER
MN
Enumeration date
12/13/2006
Last updated
09/28/2007
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