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Organization
CITY OF NEW PRAGUE
Active
Organization
CITY OF NEW PRAGUE
Active
Other names
NEW PRAGUE AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BOHNSACK (CITY ADMINISTRATOR)
(952) 758-4401
Entity
Organization
Contact information
Practice address
118 CENTRAL AVE N, NEW PRAGUE, MN 56071-1534
(952) 758-4401
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0174
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51300CI
BCBS
MN
Enumeration date
11/14/2006
Last updated
04/18/2008
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