Organization
CITY OF DODGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYCE ALLEN-ORVILLE LANGE (CITY ADMINISTRATOR)
(507) 633-2005
Entity
Organization
Contact information
Practice address
130 E HIGHWAY STREET, DODGE CENTER, MN 55927
(507) 374-2600
Mailing address
P.O. BOX 430, 35 E MAIN STREET, DODGE CENTER, MN 55927
(507) 374-2575
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372867600
—
MN
01
—
BLUE CROSS BLUE SHEI
INSURANCE
MN
Enumeration date
05/29/2007
Last updated
09/20/2021
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