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Organization

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

Active
Other names
Shakopee Mdewakanton Emergency Services
Organization subpart
No

Provider details

NPI number
Authorized official
STANLEY CROOKS (CEO)
(952) 445-8900
Entity
Organization

Contact information

Practice address
2525 FLANDREAU TRAIL, PRIOR LAKE, MN 55372
(952) 233-1077
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
05
113488400
MN
01
77M49SH
BCBS
MN
Enumeration date
07/28/2006
Last updated
01/20/2025
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