Organization
EDGELEY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEB ANDERSON (TREASURER)
(701) 493-2760
Entity
Organization
Contact information
Practice address
108 7TH ST, EDGELEY, ND 58433
(701) 493-2760
Mailing address
PO BOX 1, EDGELEY, ND 58433-0001
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
031
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51786
—
ND
01
—
7318
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/16/2006
Last updated
08/22/2020
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