Organization
CITY OF ATWATER
Active
Other names
Atwater Fire Department Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
VEDA STOCKLAND (AMBULANCE SUPERVISOR)
(320) 974-3351
Entity
Organization
Contact information
Practice address
107 2ND AVE, ATWATER, MN 56209
(329) 974-8000
Mailing address
PO BOX 457, ATWATER, MN 56209-0457
(320) 974-8000
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0013
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2G276AT
BLUE CROSS/BLUE SHIELD
MN
01
—
81-81590
MEDICA
—
Enumeration date
10/31/2006
Last updated
08/22/2020
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