Organization
VILLAGE OF ASHBY
Active
Other names
Ashby Fire Department Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ZLOTNICK (PRESIDENT)
(218) 948-2655
Entity
Organization
Contact information
Practice address
203 MAIN ST, ASHBY, MN 56309-4662
(218) 233-5658
(218) 233-7630
Mailing address
203 MAIN ST, ASHBY, MN 56309-4662
(218) 233-5658
(218) 233-7630
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0012
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62051AS
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/10/2006
Last updated
11/28/2007
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