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Organization

LEEDS AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA HAAGENSON (TREASURER)
(218) 902-0457
Entity
Organization

Contact information

Practice address
130 1ST AVE NW, LEEDS, ND 58346
(701) 466-2619
Mailing address
PO BOX 361, LEEDS, ND 58346-0361

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
070
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50119
ND
01
590012618
RAILROAD MEDICARE
ND
01
7107
BLUE CROSS BLUE SHIELD
ND
Enumeration date
01/24/2007
Last updated
03/27/2026
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