NPI 1417980475 · live from the CMS NPI Registry
City White Bear Lake
Ambulance in White Bear Lake, MN. National Provider Identifier 1417980475, active.
NPI record
| NPI | 1417980475 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | 4701 Highway 61, White Bear Lake, MN 55110 |
| Practice phone | 651-429-8526 |
| Enumerated | July 9, 2006 |
| Last updated | June 29, 2012 |
| Authorized official | Mark Sather, City Manager |
| Other names | White Bear Lake Fire Department |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance primary | 341600000X | 0267 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.