Organization
UPHAM FIRE PROTECTION
Active
Other names
Upham Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
KOLENA DRADER (SQUAD LEADER)
(701) 768-2664
Entity
Organization
Contact information
Practice address
117 C AVE S, UPHAM, ND 58789
(701) 768-2925
(701) 768-2925
Mailing address
117 C AVE S, UPHAM, ND 58789
(701) 768-2925
(701) 768-2925
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
124
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52668
—
ND
01
—
590009733
RAILROAD MEDICARE
ND
01
—
7290
BLUE CROSS BLUE SHIELD
ND
Enumeration date
05/30/2007
Last updated
05/29/2013
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