Mountain Lake Ambulance

LBN: City Of Mountain Lake
Mountain Lake Ambulance is an health care organization with primary practice located at 1100 11Th Avenue , Mountain Lake MN 56159. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of Mountain Lake can be contacted via phone (218) 233-5658, or through Janzen, Dean via phone (507) 427-2999.

Contact Information

Primary practice address
1100 11Th Avenue Mountain Lake MN 56159
Phone: (218) 233-5658
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Janzen, Dean
Phone: (507) 427-2999

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 0171 Minnesota

Profile Details

NPI number 1235299066
LBN Legal business name City Of Mountain Lake
DBA Doing business as Mountain Lake Ambulance
Authorized official Janzen, Dean
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235299066 NPPES
Minnesota Other 48599MO BLUE CROSS BLUE SHIELD

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