Organization
CITY OF NEW PRAGUE
Active
Other names
NEW PRAGUE AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BOHNSACK (CITY ADMINISTRATOR)
(952) 758-4401
Entity
Organization
Contact information
Practice address
118 CENTRAL AVE N, NEW PRAGUE, MN 56071-1534
(952) 758-4401
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0174
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51300CI
BCBS
MN
Enumeration date
11/14/2006
Last updated
04/18/2008
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