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Organization

GOODRICH AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY SCHNEIDER (SECRETARY/TREASURER)
(701) 884-2727
Entity
Organization

Contact information

Practice address
122 MCKINLEY, GOODRICH, ND 58444
(701) 884-2727
Mailing address
141 19TH AVE SE, GOODRICH, ND 58444-9373

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
046
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24770
BLUE CROSS BLUE SHIELD
ND
05
56213
ND
01
P00268227
RAILROAD MEDICARE
ND
Enumeration date
10/16/2006
Last updated
08/22/2020
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