LONGYEAR INC OF CHISHOLM NPI 1164644662

NPI Information

NPI: 1164644662
Provider Name: LONGYEAR INC OF CHISHOLM

Doing Business As: CHISHOLM AMBULANCE SERVICE

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
329 1ST ST NW
CHISHOLM, MN
ZIP 55719
Phone: (218) 312-3002
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LONGYEAR INC OF CHISHOLM is an ambulance in Chisholm, MN. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). LONGYEAR INC OF CHISHOLM NPI is 1164644662. The provider is registered as an organization entity type.
The provider Is Doing Business As Chisholm Ambulance Service.

The provider's business location address is:

329 1ST ST NW
CHISHOLM, MN
ZIP 55719-703
Phone: (218) 312-3002
Fax: (218) 263-8833

The provider's authorized official is Joseph Sertich .
The authorized official title is Owner and has the following contact phone number (218) 312-3002.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance			MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	920767800	MEDICAID	MINNESOTA
2	69127CH	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
3	590002778	OTHER	MINNESOTA	RAILROAD MEDICARE
4	599000073	MEDICARE PIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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