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Organization

PARKERS PRAIRIE COMMUNITY AMBULANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT HUCKLE (AMBULANCE ADMINISTRATOR)
(218) 338-4357
Entity
Organization

Contact information

Practice address
102 NORTH OTTER AVENUE, PARKERS PRAIRIE, MN 56361
(218) 233-5658
Mailing address
PO BOX 115, PARKERS PRAIRIE, MN 56361-0115
(218) 233-5658
(218) 233-7630

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0188
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1A368PA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/11/2006
Last updated
08/22/2020
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