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Contact Information

CITY OF GRACEVILLE
415 STUDDART AVENUE
GRACEVILLE, MN56240-0231
 Phone: 320-748-7911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CITY OF GRACEVILLE

NPI Number 1396828133
LBN Legal business name CITY OF GRACEVILLE
Authorized official SCOTT BAUER - (CITY OFFICE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 03/04/2011 - About 15 years ago
Identifiers
MN Medicaid 534868400
MN Other 49110GR BCBSMN
MN Other 030722022 PRIME WEST
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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