# GUNFLINT TRAIL VOLUNTEER FIRE DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497831705
- **Authorized official:** LAURA DAHL POPKES EMT-B (AMBULANCE MANAGER)
- **Authorized official phone:** (218) 388-9491

## Contact information

- **Practice address:** 112 S GUNFLINT LK RD, GRAND MARAIS, MN 55604
- **Practice address phone:** (218) 388-0314
- **Practice address fax:** (218) 388-0102
- **Mailing address:** 7401 GUNFLINT TRL, GRAND MARAIS, MN 55604-2022
- **Mailing address phone:** (218) 388-0314
- **Mailing address fax:** (218) 388-0102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0388 | MN | Yes |

## Other

- **Enumeration date:** 10/29/2006
- **Last updated:** 08/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 74539GU | BLUE CROSS BLUE SHIELD | MN |
| 01 | — | 81-50084 | MEDICA | — |
