Organization
ESMOND COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLICE GEORGESON (SECRETARY/TREASURER)
(701) 249-3370
Entity
Organization
Contact information
Practice address
216 2ND AVE NW, ESMOND, ND 58332
(701) 249-3230
Mailing address
216 2ND AVE NW, ESMOND, ND 58332
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
034
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53781
—
ND
01
—
59013524
RAILROAD MEDICARE
ND
01
—
7662
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/13/2006
Last updated
08/22/2020
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