Organization
STANLEY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JOHNSON (SQUAD LEADER)
17016286245
Entity
Organization
Contact information
Practice address
221 MAIN ST SOUTH, STANLEY, ND 58784-0955
(701) 628-6245
Mailing address
221 MAIN ST SOUTH, STANLEY, ND 58784-0955
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
116
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51400
—
ND
01
—
7333
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/13/2006
Last updated
08/22/2020
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