# CLARKFIELD CARE CENTER

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

## Provider details

- **NPI number:** 1134159460
- **Authorized official:** JUSTIN BOLDT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (320) 669-7561

## Contact information

- **Practice address:** 805 5TH ST, CLARKFIELD, MN 56223-1229
- **Practice address phone:** (320) 669-7561
- **Practice address fax:** (320) 669-7409
- **Mailing address:** 805 5TH ST, BOX 458, CLARKFIELD, MN 56223-1229
- **Mailing address phone:** (320) 669-7561
- **Mailing address fax:** (320) 669-7409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0052 | MN | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 12/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02835CL | BCBS | MN |
| 01 | — | 117039 | UCARE | MN |
| 05 | — | 572367100 | — | MN |