| Organization Name: | FM AMBULANCE SERVICE, INC |
| NPI Number: | 1407023062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTHA K LECLERC (VICE PRESIDENT) |
| Mailing Address: | 511 Atlantic Ave Thief River Falls |
| State: | MN US |
| Postal Code: | 567012052 |
| Phone Number: | 2186881496 |
| Fax Number: | 7013641705 |
| NPI Enumeration Date: | 05/13/2008 |
| NPI Last Update Date: | 04/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |