Organization
ELK RIVER FIRE & AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN LEE DITTBENNER PARAMEDIC (AMBULANCE COORDINATOR)
(763) 441-2733
Entity
Organization
Contact information
Practice address
415 JACKSON AVE NW, ELK RIVER, MN 55330-1327
(763) 441-2733
(763) 441-4050
Mailing address
415 JACKSON AVE NW, ELK RIVER, MN 55330-1327
(763) 441-2733
(763) 441-4050
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
073
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007550
PREFERRED ONE
MN
01
—
106310
U-CARE
MN
01
—
38849EL
BLUE CROSS
MN
01
—
8180255
MEDICA PRIMARY
MN
01
—
8181676
MEDICA CHOICE
MN
Enumeration date
09/16/2006
Last updated
08/22/2020
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