# GRANT-ROBERTS AMBULANCE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ortonville Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851451207
- **Authorized official:** BARRET JAY WICKLUND (OWNER)
- **Authorized official phone:** (218) 739-5875

## Contact information

- **Practice address:** 305 E RAILWAY AVE, MILBANK, SD 57252-1322
- **Practice address phone:** (605) 432-6783
- **Mailing address:** PO BOX 623, MILBANK, SD 57252-0623
- **Mailing address phone:** (605) 432-6783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0291 | SD | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 05/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005222 | BLUE CROSS BLUE SHIELD | SD |
| 05 | — | 9017010 | — | SD |