Organization
CITY OF MAPLE LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN YAGER (CITY CLERK)
(320) 963-3611
Entity
Organization
Contact information
Practice address
10 MAPLE AVE S, MAPLE LAKE, MN 55358-4558
(320) 963-3611
(320) 963-6612
Mailing address
10 MAPLE AVE S, PO BOX 757, MAPLE LAKE, MN 55358-4558
(320) 963-3611
(320) 963-6612
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
147
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25107-469153224
MEDICA
MN
01
—
55023MA
BLUE CROSS
MN
01
—
602067400
MN MA
MN
Enumeration date
12/12/2006
Last updated
12/09/2016
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