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Organization
CITY OF MARIETTA
Active
Organization
CITY OF MARIETTA
Active
Other names
Marietta Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY CLARA STOICK (CITY CLERK)
(320) 668-2375
Entity
Organization
Contact information
Practice address
203 3RD AVE. NORTH, MARIETTA, MN 56257-0123
(320) 668-2375
Mailing address
204 SECOND ST. NORTH, PO BOX 123, MARIETTA, MN 56257-0123
(320) 668-2375
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0149
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44343MA
BLUE CROSS ID #GROUP
MN
Enumeration date
04/04/2007
Last updated
08/22/2020
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