Organization
LAKE COUNTY AMBULANCE
Active
Other names
SILVER BAY AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK WILLIAM LEE (CEO DIRECTOR)
(218) 834-7110
Entity
Organization
Contact information
Practice address
87 BANKS BLVD., SILVER BAY, MN 55614-0066
(218) 226-4423
Mailing address
421 20TH AVE, TWO HARBORS, MN 55616-1364
(218) 834-7110
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0230
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G890TW
BCBS OF MN
MN
Enumeration date
11/08/2006
Last updated
08/22/2020
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