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Organization
GUNFLINT TRAIL VOLUNTEER FIRE DEPARTMENT
Active
Organization
GUNFLINT TRAIL VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DAHL POPKES EMT-B (AMBULANCE MANAGER)
(218) 388-9491
Entity
Organization
Contact information
Practice address
112 S GUNFLINT LK RD, GRAND MARAIS, MN 55604
(218) 388-0314
(218) 388-0102
Mailing address
7401 GUNFLINT TRL, GRAND MARAIS, MN 55604-2022
(218) 388-0314
(218) 388-0102
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74539GU
BLUE CROSS BLUE SHIELD
MN
01
—
81-50084
MEDICA
—
Enumeration date
10/29/2006
Last updated
08/27/2018
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