Organization
WASHBURN VOLUNTEER AMBULANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DEVLIN (BOARD MEMBER)
(701) 462-8431
Entity
Organization
Contact information
Practice address
917 MAIN AVENUE, WASHBURN, ND 58577-4221
(701) 462-8431
(701) 462-8279
Mailing address
PO BOX 974, MANDAN, ND 58554-0974
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
128
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52019
—
ND
01
—
WAS10967
BLUE CROSS
ND
01
—
WAS7212
BLUE CROSS
ND
Enumeration date
11/08/2006
Last updated
03/02/2015
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