Organization
DRAYTON VOLUNTEER AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW D DUNCKLEE (COORDINATOR)
(701) 454-6119
Entity
Organization
Contact information
Practice address
105 GRANT AVE, DRAYTON, ND 58225-0238
(701) 454-6505
(701) 454-3817
Mailing address
PO BOX 238, DRAYTON, ND 58225-0238
(701) 454-6505
(701) 454-3817
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51616
—
ND
01
—
7302
BLUE CROSS BLUE SHIELD
ND
Enumeration date
01/23/2007
Last updated
04/01/2013
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