Organization
STEVENS COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WAGNER (ADMINISTRATOR)
(320) 589-7421
Entity
Organization
Contact information
Practice address
209 S HIGHWAY 9, MORRIS, MN 56267-1500
(320) 589-7421
Mailing address
209 S HIGHWAY 9, PO BOX 231, MORRIS, MN 56267-1500
(320) 589-7421
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0402
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030722026
PRIMEWEST
MN
01
—
49361ST
BCBSMN
MN
01
—
8180741
MEDICA
MN
05
—
902067500
—
MN
Enumeration date
10/24/2006
Last updated
10/21/2009
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