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Organization
CITY OF LEWISTON
Active
Organization
CITY OF LEWISTON
Active
Other names
Lewiston Volunteer Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEE ESSIG (AMBULANCE DIRECTOR)
(507) 523-2982
Entity
Organization
Contact information
Practice address
75 RICE STREET, LEWISTON, MN 55952
(507) 523-2257
(507) 523-2306
Mailing address
PO BOX 722, LEWISTON, MN 55952-0722
(507) 523-2257
(507) 523-2306
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0135
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170133
UCARE
—
01
—
38250LE
BLUE CROSS BLUE SHIELD
MN
01
—
590013759
MEDICARE RAILROAD
MN
05
—
773267800
—
MN
01
—
81380
MMSI
—
01
—
8182873
MEDICA
MN
Enumeration date
10/12/2006
Last updated
11/15/2022
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