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Contact Information

LONGYEAR INC OF CHISHOLM
329 1ST ST NW
CHISHOLM, MN55719-1703
 Phone: 218-312-3002
 Fax: 218-263-8833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for LONGYEAR INC OF CHISHOLM

NPI Number 1164644662
LBN Legal business name LONGYEAR INC OF CHISHOLM
Authorized official JOSEPH SERTICH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 08/27/2012 - About 14 years ago
Identifiers
MN Medicaid 920767800
MN Other 69127CH BLUE CROSS BLUE SHIELD
MN Other 590002778 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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