Organization
CITY OF LITTLEFORK
Active
Other names
Littlefork Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FAIRCHILD (CITY ADMINISTRATOR)
(218) 278-6710
Entity
Organization
Contact information
Practice address
901 MAIN ST, LITTLEFORK, MN 56653-9357
(218) 233-5658
(218) 233-7630
Mailing address
901 MAIN ST, LITTLEFORK, MN 56653-9357
(218) 233-5658
(218) 233-7630
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0139
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45337LI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/10/2006
Last updated
08/22/2020
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