Organization
CITY OF MARIETTA
Active
Other names
Marietta Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY CLARA STOICK (CITY CLERK)
(320) 668-2375
Entity
Organization
Contact information
Practice address
203 3RD AVE. NORTH, MARIETTA, MN 56257-0123
(320) 668-2375
Mailing address
204 SECOND ST. NORTH, PO BOX 123, MARIETTA, MN 56257-0123
(320) 668-2375
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0149
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44343MA
BLUE CROSS ID #GROUP
MN
Enumeration date
04/04/2007
Last updated
08/22/2020
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