Organization
WALHALLA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY J. CLAIRMONT WALHALLA AMBULANCE S (BOARD MEMBER-WALHALLA AMBULANCE SER)
(701) 549-2609
Entity
Organization
Contact information
Practice address
1309 DELANO AVENUE, WALHALLA, ND 58282
(701) 549-2609
(701) 549-2625
Mailing address
P.O. BOX 467, 1309 DELANO AVENUE, WALHALLA, ND 58282
(701) 549-2609
(701) 549-2625
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
127
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53936
—
ND
01
—
590006699
RAILROAD MEDICARE
ND
01
—
7695
BLUE CROSS BLUE SHIELD
ND
Enumeration date
05/07/2007
Last updated
05/19/2010
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