CITY OF MONTGOMERY NPI 1326108150

NPI Information

NPI: 1326108150
Provider Name: CITY OF MONTGOMERY

Doing Business As: MONTGOMERY GENERAL AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
201 ASH AVENUE EAST
MONTGOMERY, MN
ZIP 56069
Phone: (218) 233-5658
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CITY OF MONTGOMERY is a land transport ambulance in Montgomery, MN. CITY OF MONTGOMERY NPI is 1326108150. The provider is registered as an organization entity type.
The provider Is Doing Business As Montgomery General Ambulance.

The provider's business location address is:

201 ASH AVENUE EAST
MONTGOMERY, MN
ZIP 56069
Phone: (218) 233-5658

The provider's authorized official is Patric Stewig .
The authorized official title is President and has the following contact phone number (507) 364-8888.

The CLIA number assigned to this NPI record is 24D1003728 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.

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	3416L0300X	Ambulance	Land Transport	0165	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	45074CI	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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