Organization
KENMARE AMBULANCE SERVICE
Active
Other names
KENMARE AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
SARA STASKYWICZ (SECRETARY TREASURER)
(701) 385-4488
Entity
Organization
Contact information
Practice address
310 N CENTRAL AVE, KENMARE, ND 58746
(701) 509-6285
Mailing address
PO BOX 817, KENMARE, ND 58746-0817
(701) 509-6285
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
061
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53937
—
ND
01
—
590002528
RAILROAD MEDICARE
ND
01
—
7205
BLUD CROSS BLUE SHIELD
ND
Enumeration date
05/17/2007
Last updated
07/20/2026
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