Organization
CITY OF KERKHOVEN
Active
Other names
Kerkhoven Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DAHL (DIRECTOR)
(320) 264-2581
Entity
Organization
Contact information
Practice address
202 9TH STREET N, KERKHOVEN, MN 56252
(218) 233-5658
Mailing address
PO BOX 364, MOORHEAD, MN 56561-0364
(218) 233-5658
(218) 233-7630
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0122
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45379KE
BLUE CROSS BLUE SHIELD
MN
05
—
916024800
—
MN
Enumeration date
12/11/2006
Last updated
01/13/2009
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