Healthcare Provider Details

I. General information

NPI: 1831591957
Provider Name (Legal Business Name): MINNESOTA EMERGENCY COMMUNICATIONS TEAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 01/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 DOUGLAS DR N 275
GOLDEN VALLEY MN
55422-4327
US

IV. Provider business mailing address

1710 DOUGLAS DR N 275
GOLDEN VALLEY MN
55422-4327
US

V. Phone/Fax

Practice location:
  • Phone: 651-207-2430
  • Fax:
Mailing address:
  • Phone: 651-207-2430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEREMY JOSEPH ROGNESS
Title or Position: BOOARD CHAIR
Credential:
Phone: 651-207-2430