Organization
A.L.S. AEROCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY HELEN BRUNNER RN,BSN,CFN (CEO)
(612) 539-2222
Entity
Organization
Contact information
Practice address
14815 41ST AVE N, PLYMOUTH, MN 55446-2754
(612) 539-2222
(763) 572-2194
Mailing address
14815 41ST AVE N, PLYMOUTH, MN 55446-2754
(612) 539-2222
(763) 572-2194
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
1688
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198492600
—
MN
01
—
50P06AL
BLUE CROSS/BLUE SH
MN
01
—
81-00029
MEDICA
MN
Enumeration date
11/04/2005
Last updated
03/29/2010
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