Provider Demographics
NPI:1487649109
Name:CITY OF FRANKLIN
Entity Type:Organization
Organization Name:CITY OF FRANKLIN
Other - Org Name:FRANKLIN AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:507-557-9473
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55333-0268
Mailing Address - Country:US
Mailing Address - Phone:507-557-2259
Mailing Address - Fax:507-557-2255
Practice Address - Street 1:291 3RD AVE E
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MN
Practice Address - Zip Code:55333-1185
Practice Address - Country:US
Practice Address - Phone:507-557-2280
Practice Address - Fax:507-557-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00873416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN47152FROtherBLUE CROSS BLUE SHIELD
MN47152FROtherBLUE CROSS BLUE SHIELD