# CITY OF LAKE CITY

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

## Provider details

- **NPI number:** 1194885483
- **Authorized official:** KARI SCHRECK (CITY CLERK)
- **Authorized official phone:** (651) 345-5383

## Contact information

- **Practice address:** 209 S HIGH ST, LAKE CITY, MN 55041-1638
- **Practice address phone:** (218) 233-5658
- **Mailing address:** PO BOX 641880, OMAHA, NE 68164-7880
- **Mailing address phone:** (402) 572-4019
- **Mailing address fax:** (402) 965-8594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0126 | MN | — |
| 3416L0300X | Land Ambulance | 1969 | MN | Yes |

## Other

- **Enumeration date:** 12/10/2006
- **Last updated:** 07/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 182767700 | — | MN |
| 01 | — | 36053LA | BLUE CROSS BLUE SHIELD | MN |