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Organization

ASHLEY AMBULANCE ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORINNE LEPP (BILLING MANAGER)
(701) 288-3433
Entity
Organization

Contact information

Practice address
612 CENTER AVE N, ASHLEY, ND 58413-7013
(701) 288-3433
(701) 288-3213
Mailing address
PO BOX 504, ASHLEY, ND 58413-0504
(701) 288-3433
(701) 288-3213

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052790
ND
01
7317
BLUE CROSS BLUE SHIELD
ND
01
9003020
MEDICAID
SD
Enumeration date
08/20/2006
Last updated
08/16/2010
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