Organization
SPRING GROVE AMBULANCE CORPORATION
Active
Other names
Spring Grove Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER M GRAY (TREASURER)
(507) 459-1948
Entity
Organization
Contact information
Practice address
192 W MAIN ST, SPRING GROVE, MN 55974-1444
(507) 498-3098
Mailing address
PO BOX 122, SPRING GROVE, MN 55974-0122
(507) 498-3098
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39737SP
BLUE PLUS
MN
01
—
761367900
MHCP
MN
Enumeration date
11/08/2006
Last updated
05/09/2024
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