Organization
COUNTY OF CARLTON
Active
Other names
CARLTON COUNTY HUMAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEE (DIRECTOR)
(218) 879-4511
Entity
Organization
Contact information
Practice address
14 N 11TH ST, CLOQUET, MN 55720-1607
(218) 879-4583
(218) 879-2500
Mailing address
14 N 11TH ST, PO BOX 660, CLOQUET, MN 55720-1607
(218) 879-4583
(218) 879-2500
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009400
—
MN
01
—
9039916
MN TAX ID#
MN
Enumeration date
07/28/2011
Last updated
10/11/2011
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