Organization
CITY OF WINDOM AMBULANCE
Active
Other names
Windom Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PORATH (AMBULANCE DIRECTOR)
(507) 822-3774
Entity
Organization
Contact information
Practice address
444 9TH ST, WINDOM, MN 56101-1641
(507) 822-3774
Mailing address
PO BOX 38, WINDOM, MN 56101-0038
(507) 831-2400
(507) 831-5749
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905059
—
IA
01
—
2E518WI
BLUE CROSS BLUE SHIELD
MN
05
—
390768600
—
MN
05
—
9017140
—
SD
Enumeration date
10/12/2005
Last updated
11/02/2023
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