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Organization

UNDERWOOD AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELILA REPNOW (SECRETARY)
(701) 442-5773
Entity
Organization

Contact information

Practice address
208 GRANT AVE, UNDERWOOD, ND 58576-1045
(701) 442-5773
Mailing address
PO BOX 974, MANDAN, ND 58554-0974

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
121
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54124
ND
05
9003160
SD
01
UND7181
BLUE CROSS ND
ND
Enumeration date
10/11/2006
Last updated
12/29/2009
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