Organization
CITY OF LEWISTON
Active
Other names
Lewiston Volunteer Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEE ESSIG (AMBULANCE DIRECTOR)
(507) 523-2982
Entity
Organization
Contact information
Practice address
75 RICE STREET, LEWISTON, MN 55952
(507) 523-2257
(507) 523-2306
Mailing address
PO BOX 722, LEWISTON, MN 55952-0722
(507) 523-2257
(507) 523-2306
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0135
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170133
UCARE
—
01
—
38250LE
BLUE CROSS BLUE SHIELD
MN
01
—
590013759
MEDICARE RAILROAD
MN
05
—
773267800
—
MN
01
—
81380
MMSI
—
01
—
8182873
MEDICA
MN
Enumeration date
10/12/2006
Last updated
11/15/2022
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