Organization
SARGENT COUNTY AMBULANCE FORMAN SQUAD
Active
Other names
Sargent County Ambulance, SARGENT COUNTY AMBULANCE FORMAN
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT MAHLER (COORDINATOR)
(701) 724-6241
Entity
Organization
Contact information
Practice address
355 MAIN ST S, FORMAN, ND 58032
(701) 724-6241
Mailing address
PO BOX 316, FORMAN, ND 58032-0316
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
040
ND
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50033
—
ND
01
—
7298
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/20/2006
Last updated
11/19/2024
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