Shakopee Mdewakanton Sioux Community

NPI #1700890134 in Prior Lake, Minnesota

Provider Information

NPI Number: 1700890134
Entity Type: Organization
Organization Name: Shakopee Mdewakanton Sioux Community
Primary Specialty: Ambulance
Enumeration Date: Jul 28, 2006
Last Updated: Jan 20, 2025

Practice Location

Address: 2525 FLANDREAU TRAIL
City: Prior Lake
State: Minnesota
ZIP Code: 55372
Phone: (952) 233-1077

Authorized Official

Name: STANLEY CROOKS
Title: CEO
Phone: (952) 445-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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