Organization
COMMMUNITY AMBULANCE SERVICE, INC
Active
Other names
COMMUNITY AMBULANCE OF ROLLA
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GRIFFIN (BOARD PRESIDENT)
(701) 477-5342
Entity
Organization
Contact information
Practice address
217 5TH AVE NE, ROLLA, ND 58367
(701) 477-8818
Mailing address
PO BOX 872, ROLLA, ND 58367-0872
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
113
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51849
—
ND
01
—
7327
BLUE CROSS BLUE SHIELD
ND
01
—
P00203698
RAILROAD MEDICARE
ND
Enumeration date
11/30/2006
Last updated
03/03/2010
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