Organization
CITY OF WILLISTON
Active
Other names
WILLISTON AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
HERCULES CUMMINGS (FINANCE DIRECTOR)
(701) 572-3400
Entity
Organization
Contact information
Practice address
317 11TH ST W, WILLISTON, ND 58801
(701) 572-3400
(701) 572-6602
Mailing address
317 11TH STREET W, WILLISTON, ND 58801-5127
(701) 572-3400
(701) 572-6602
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
131
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1451862
—
ND
05
—
440700
—
MT
01
—
7008
OTHER INSURANCE
—
01
—
8375
BCBS ND
ND
Enumeration date
05/10/2007
Last updated
03/01/2021
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