Organization
CLARA CITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY GOSSELING (SR. ACCTING CLERK)
(320) 847-2140
Entity
Organization
Contact information
Practice address
215 NW 1ST STREET, CLARA CITY, MN 56222-0560
(320) 847-2140
(320) 847-2114
Mailing address
PO BOX 560, 215 NW 1ST STREET, CLARA CITY, MN 56222-0560
(320) 847-2140
(320) 847-2114
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45774CL
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/19/2006
Last updated
08/22/2020
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