# CITY OF KIESTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KIESTER RESCUE SQUAD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356401186
- **Authorized official:** HOPE BAUMAN (RESCUE SQUAD DIRECTOR)
- **Authorized official phone:** (507) 294-3739

## Contact information

- **Practice address:** 116 N 1ST STREET, KIESTER, MN 56051
- **Practice address phone:** (218) 233-5638
- **Mailing address:** PO BOX 452, KIESTER, MN 56051-0452
- **Mailing address phone:** (218) 233-5658
- **Mailing address fax:** (218) 233-7630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0123 | MN | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 10/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 42290KI | BLUE CROSS BLUE SHIELD | MN |
| 05 | — | 42290KI | — | MN |
