Healthcare Provider Details

I. General information

NPI: 1003919333
Provider Name (Legal Business Name): VILLAGE OF REMER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 04/17/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 SPRUCE ST NW
REMER MN
56672-4300
US

IV. Provider business mailing address

106 SPRUCE ST NW
REMER MN
56672-4300
US

V. Phone/Fax

Practice location:
  • Phone: 218-566-4156
  • Fax:
Mailing address:
  • Phone: 218-566-4156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0206
License Number StateMN

VIII. Authorized Official

Name: ELIZABETH BLUNDELL
Title or Position: CLERK
Credential:
Phone: 218-566-4156