Organization
SARGENT COUNTY AMBULANCE FORMAN SQUAD
Active
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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