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Organization
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Active
Organization
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Active
Other names
Shakopee Mdewakanton Emergency Services
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY CROOKS (CEO)
(952) 445-8900
Entity
Organization
Contact information
Practice address
2525 FLANDREAU TRAIL, PRIOR LAKE, MN 55372
(952) 233-1077
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113488400
—
MN
01
—
77M49SH
BCBS
MN
Enumeration date
07/28/2006
Last updated
01/20/2025
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