# CITY OF CLOQUET

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

## Provider details

- **NPI number:** 1194859124
- **Authorized official:** BRIAN FRITSINGER (CITY ADMINISTRATOR)
- **Authorized official phone:** (218) 879-3347

## Contact information

- **Practice address:** 508 CLOQUET AVE, CLOQUET, MN 55720-3742
- **Practice address phone:** (218) 879-6514
- **Mailing address:** 1307 CLOQUET AVE, CLOQUET, MN 55720-1656
- **Mailing address phone:** (218) 879-3347
- **Mailing address fax:** (218) 879-6555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0053 | MN | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 120910 | UCARE MN | MN |
| 01 | — | 75095CL | BCBS OF MN | MN |
| 05 | — | 8180850 | — | MN |