Organization
ROCK LAKE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREL LAGEIN (TREASURER)
(701) 370-2520
Entity
Organization
Contact information
Practice address
33 MAIN ST, ROCK LAKE, ND 58365-4005
(701) 266-5580
Mailing address
33 MAIN ST, ROCK LAKE, ND 58365-4005
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
111
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11361
BLUE CROSS BLUE SHIELD
ND
05
—
53142
—
ND
Enumeration date
10/12/2006
Last updated
12/13/2013
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