Organization
CITY OF COSMOS
Active
Other names
Cosmos Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOUVILLE (CITY ADMINISTRATOR)
(320) 877-7345
Entity
Organization
Contact information
Practice address
233 MILKY WAY ST. S., COSMOS, MN 56228
(320) 877-7345
(320) 877-7678
Mailing address
PO BOX 614, 233 MILKY WAY ST. S., COSMOS, MN 56228
(320) 877-7345
(320) 877-7678
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0058
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863367300
—
MN
Enumeration date
06/29/2007
Last updated
06/10/2014
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