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Organization
ELMORE AMBULANCE SERVICE
Active
Organization
ELMORE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI BOECKMAN (BILLING OFFICER)
(507) 943-3235
Entity
Organization
Contact information
Practice address
208 W WILLIS ST, ELMORE, MN 56027
(507) 943-3235
Mailing address
PO BOX 355, ELMORE, MN 56027-0355
(507) 943-3235
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42156EL
BLUE PLUS
MN
Enumeration date
12/26/2007
Last updated
12/26/2007
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