Longyear INC of Chisholm

NPI #1164644662 in Chisholm, Minnesota

Provider Information

NPI Number: 1164644662
Entity Type: Organization
Organization Name: Longyear INC of Chisholm
Primary Specialty: Ambulance
Enumeration Date: May 3, 2007
Last Updated: Aug 27, 2012

Practice Location

Address: 329 1ST ST NW
City: Chisholm
State: Minnesota
ZIP Code: 55719-1703
Phone: (218) 312-3002

Authorized Official

Name: JOSEPH SERTICH
Title: OWNER
Phone: (218) 312-3002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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