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Organization
CITY OF RAYMOND
Active
Organization
CITY OF RAYMOND
Active
Other names
Raymond Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE TALLACKSON (CLAIMS MANAGER)
(651) 653-2201
Entity
Organization
Contact information
Practice address
314 SPICER STREET, RAYMOND, MN 56282-9998
(320) 967-4226
Mailing address
PO BOX 216, RAYMOND, MN 56282-0216
(651) 653-2201
(651) 653-2213
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986313300
—
MN
01
—
BCBS
45656RA
MN
Enumeration date
05/04/2007
Last updated
03/14/2013
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