Organization
ELLENDALE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE CARROLL LOUKS (DIRECTOR)
(507) 688-2745
Entity
Organization
Contact information
Practice address
201 3RD ST., ELLENDALE, MN 56026
(507) 688-2745
Mailing address
PO BOX 172, ELLENDALE, MN 56026-0172
(507) 688-2745
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0074
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M811992900
—
MN
Enumeration date
07/12/2007
Last updated
08/10/2018
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