Organization
BIGFORK AMBULANCE SERVICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE KOPPELMAN (CHIEF)
(218) 743-4131
Entity
Organization
Contact information
Practice address
105 ASH STREET, BIGFORK, MN 56628
(218) 743-4131
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2A081BI
BCBS
MN
Enumeration date
08/16/2006
Last updated
04/18/2008
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