Organization
MEDS-1 AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KEVIN MCNICHOLS (OWNER)
(218) 326-0020
Entity
Organization
Contact information
Practice address
1328 NW 5TH STREET, GRAND RAPIDS, MN 55744
(218) 326-0020
(218) 326-1402
Mailing address
1328 NW 5TH STREET, GRAND RAPIDS, MN 55744
(218) 326-0020
(218) 326-1402
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0319
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280268600
—
MN
Enumeration date
09/28/2006
Last updated
05/27/2016
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