Organization
CITY OF WILLISTON
Active
Other names
Williston Community Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KAUTZMAN (CITY AUDITOR)
(701) 577-8100
Entity
Organization
Contact information
Practice address
22 E BROADWAY, WILLISTON, ND 58801-6011
(701) 577-8100
(701) 577-8880
Mailing address
PO BOX 1306, WILLISTON, ND 58802-1306
(701) 577-8100
(701) 577-8880
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
131
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440700
—
MT
05
—
50101
—
ND
01
—
7008
BLUE CROSS BLUE SHIELD
ND
Enumeration date
09/20/2006
Last updated
08/22/2020
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