Organization
CITY OF PRESTON
Active
Other names
Preston Emergency Service
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN THROCKMORTON (DIRECTOR)
(507) 765-2153
Entity
Organization
Contact information
Practice address
217 FILLMORE ST W., PRESTON, MN 55965
(507) 765-2153
Mailing address
P.O. BOX 657, 210 FILLMORE ST W., PRESTON, MN 55965
(507) 765-2153
(507) 765-2794
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0199
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082268000
—
MN
01
—
39623PR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/11/2006
Last updated
05/21/2013
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