Organization
STANDING ROCK SIOUX TRIBE
Active
Other names
Standing Rock Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SHAW JR. (DIRECTOR)
(701) 854-3452
Entity
Organization
Contact information
Practice address
9311 HIGHWAY 24, FORT YATES, ND 58538-9621
(701) 854-3452
Mailing address
PO BOX 974, MANDAN, ND 58554-0974
(701) 250-6361
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
041
ND
3416L0300X
Land Ambulance
Primary
041
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460847
—
ND
05
—
50580
—
ND
01
—
7210
BLUE CROSS
ND
05
—
9011130
—
SD
Enumeration date
10/12/2006
Last updated
04/21/2026
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