Organization
SPIRIT LAKE TRIBE
Active
Other names
Spirit Lake EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATE I JOHNSON PARAMEDIC (EMS DIRECTOR)
(701) 766-1714
Entity
Organization
Contact information
Practice address
1403 BRUNSWICK AVE, FORT TOTTEN, ND 58335-0449
(701) 766-1714
(701) 766-4878
Mailing address
PO BOX 449, PO BOX 449, FORT TOTTEN, ND 58335-0449
(701) 766-1714
(701) 766-4878
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0142
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740387059
NPI
ND
Enumeration date
06/14/2007
Last updated
02/08/2009
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