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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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