Organization
WILTON AMBULANCE SERVICE
Active
Other names
WILTON RURAL AMBULANCE DISTRICT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEEANN R DOMONOSKE (AMBULANCE COORDINATOR)
(701) 734-6247
Entity
Organization
Contact information
Practice address
117 DAKOTA AVE, WILTON, ND 58579-0163
(701) 734-6247
(701) 734-6247
Mailing address
PO BOX 974, MANDAN, ND 58554-0974
(701) 250-6361
(701) 255-7247
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
133
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50397
—
ND
01
—
WIL7618
BLUE CROSS NORTH DAKOTA
ND
Enumeration date
11/03/2006
Last updated
03/13/2013
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