Organization
CITY OF MONTGOMERY
Active
Other names
Montgomery General Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HECK (CITY ADMINISTATOR / AO)
(507) 364-8888
Entity
Organization
Contact information
Practice address
201 ASH AVE SW, MONTGOMERY, MN 56069-1225
(507) 364-8888
Mailing address
201 ASH AVE SW, MONTGOMERY, MN 56069-1225
(507) 364-8888
(507) 953-2071
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0165
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45074CI
BLUE CROSS BLUE SHIELD
MN
05
—
452367900
—
MN
Enumeration date
12/11/2006
Last updated
12/12/2023
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