Organization
DICKINSON AREA AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRET WICKLUND (OWNER)
(701) 225-1500
Entity
Organization
Contact information
Practice address
42 B AVENUE E, DICKINSON, ND 58601-5354
(701) 225-1500
Mailing address
PO BOX 772, DICKINSON, ND 58602-0772
(701) 225-1500
(701) 225-1500
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
29
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54345
—
ND
01
—
7020
BLUE CROSS BLUE SHIELD
ND
Enumeration date
12/08/2006
Last updated
10/26/2007
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