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Contact Information

CITY WHITE BEAR LAKE
4701 HIGHWAY 61
WHITE BEAR LAKE, MN55110-3227
 Phone: 651-429-8526
 Fax: 651-429-8500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CITY WHITE BEAR LAKE

NPI # 1417980475
LBN Legal business name CITY WHITE BEAR LAKE
Authorized official MARK SATHER - (CITY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 06/29/2012 - About 14 years ago
Identifiers
MN License # 0267
MN Medicaid 651368900
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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