Organization
CITY OF LAKE CITY
Active
Other names
Lake City Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
KARI SCHRECK (CITY CLERK)
(651) 345-5383
Entity
Organization
Contact information
Practice address
209 S HIGH ST, LAKE CITY, MN 55041-1638
(218) 233-5658
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
0126
MN
3416L0300X
Land Ambulance
Primary
1969
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182767700
—
MN
01
—
36053LA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/10/2006
Last updated
07/08/2010
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