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General NPI Number Information
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NPI Number | 1235284985
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY EMERGENCY MEDICAL SERVICES DISTRICT, INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 104 1ST ST S
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City | KARLSTAD
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State | MN
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Zip | 56732
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Country | US
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Telephone | 218-436-3161
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Fax | 218-436-3162
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Provider Business Mailing Address
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Address Line | PO BOX 547
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City | WHEELING
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State | IL
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Zip | 60090-0547
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Country | US
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Telephone | 734-224-4474
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Fax | 336-791-0196
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TAYLOR CLARK
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Credential |
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Telephone | 218-436-3161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0120
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License Number State | MN
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