BLACKDUCK AMBULANCE ASSOCIATION NPI 1932212693

NPI Information

BLACKDUCK AMBULANCE ASSOCIATION is an ambulance in Blackduck, 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). BLACKDUCK AMBULANCE ASSOCIATION NPI is 1932212693. The provider is registered as an organization entity type.

The provider's business location address is:

55 RAILROAD AVENUE
BLACKDUCK, MN
ZIP 56630
Phone: (218) 835-4800

The provider's authorized official is Brent Sorensen .
The authorized official title is Ambulance Manager and has the following contact phone number (218) 835-4800.

The CLIA number assigned to this NPI record is 24D0920460 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 4/18/2008.

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:

Other Identifiers

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

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