Organization
JACKSON VOLUNTEER AMBULANCE
Active
Other names
Jackson Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MATT SKARET (CITY ADMINISTRATOR)
(507) 847-4410
Entity
Organization
Contact information
Practice address
305 SHERIDAN STR, JACKSON, MN 56143-0242
(507) 847-5306
Mailing address
80 W ASHLEY ST, JACKSON, MN 56143-1669
(507) 847-5306
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
0117
MN
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48400JA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/18/2006
Last updated
10/31/2023
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