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Organization
CITY OF FAIRFAX
Active
Organization
CITY OF FAIRFAX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SCHAFER (MAYOR)
(507) 426-7255
Entity
Organization
Contact information
Practice address
112 1ST STREET SE, FAIRFAX, MN 55332-0911
(507) 426-7255
Mailing address
112 SE 1ST STREET, FAIRFAX, MN 55332-0911
(507) 426-7255
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1898
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030701148
—
MN
01
—
47127FA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/07/2005
Last updated
09/28/2011
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