Organization
CITY OF MOUNTAIN LAKE
Active
Other names
Mountain Lake Ambulance, Mountain Lake Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MUELLER (CITY ADMINISTRATOR)
(507) 427-2999
Entity
Organization
Contact information
Practice address
356 11TH STREET N, MOUNTAIN LAKE, MN 56159-1586
(507) 427-2522
Mailing address
PO BOX C, MOUNTAIN LAKE, MN 56159-0320
(507) 822-2522
(336) 791-0196
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0171
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48599MO
BLUE CROSS BLUE SHIELD
MN
05
—
543069100
—
MN
01
—
590095252
RAILROAD MEDICARE
MN
Enumeration date
12/11/2006
Last updated
05/07/2026
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