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Organization

XWA 2024 LLC

Active
Other names
Williston Care Flight
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB KELLER (PRESIDENT)
(608) 577-5698
Entity
Organization

Contact information

Practice address
14151 COMMERCE DR, WILLISTON, ND 58801-8018
(608) 577-5698
Mailing address
2403 AIR CARGO DR, GRAND FORKS, ND 58203-8944
(608) 577-5698

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416A0800X
Air Ambulance
Primary

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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