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Organization
CITY OF MOUNTAIN LAKE
Active
Organization
CITY OF MOUNTAIN LAKE
Active
Other names
Mountain Lake Ambulance, Mountain Lake Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MUELLER (CITY ADMINISTRATOR)
(507) 427-2999
Entity
Organization
Contact information
Practice address
356 11TH STREET N, MOUNTAIN LAKE, MN 56159-1586
(507) 427-2522
Mailing address
PO BOX C, MOUNTAIN LAKE, MN 56159-0320
(507) 822-2522
(336) 791-0196
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0171
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48599MO
BLUE CROSS BLUE SHIELD
MN
05
—
543069100
—
MN
01
—
590095252
RAILROAD MEDICARE
MN
Enumeration date
12/11/2006
Last updated
05/07/2026
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