Organization
CITY OF CALEDONIA
Active
Other names
Caledonia Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE TORNSTROM (AMBULANCE DIRECTOR)
(507) 450-3201
Entity
Organization
Contact information
Practice address
231 E MAIN ST, CALEDONIA, MN 55921-1396
(507) 725-3297
Mailing address
231 E MAIN ST, CALEDONIA, MN 55921-1396
(507) 725-3450
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0041
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39880CA
BLUE CROSS BLUE SHIELD
MN
05
—
80961900
—
WI
Enumeration date
03/20/2007
Last updated
08/22/2020
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