Organization
RANGE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASSAMALI JAMAL M.D. (OWNER)
(218) 741-2222
Entity
Organization
Contact information
Practice address
604 9TH ST N, VIRGINIA, MN 55792-2320
(218) 741-2222
(218) 742-3444
Mailing address
2832 1ST AVE, HIBBING, MN 55746-2562
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33Y02KA
BCBS
MN
05
—
373824800
—
MN
01
—
7C602KA
BCBS
MN
01
—
CH2868
RR MEDICARE
MN
Enumeration date
05/04/2006
Last updated
09/15/2008
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