Organization
BEMIDJI AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT G LACOURSIERE (PRESIDENT)
(218) 444-3328
Entity
Organization
Contact information
Practice address
512 KAY AVE SE, BEMIDJI, MN 56601-3637
(218) 444-3328
Mailing address
512 KAY AVE SE, BEMIDJI, MN 56601-3637
(218) 444-3328
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
022
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372368200
—
MN
01
—
81143BE
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
10/18/2007
Last updated
10/18/2007
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