Organization
HUNTER AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MOEN (TREASURER)
(701) 874-2161
Entity
Organization
Contact information
Practice address
401 MAIN ST, HUNTER, ND 58048-4003
(701) 874-2161
Mailing address
PO BOX 974, MANDAN, ND 58554-0974
(701) 250-6361
(701) 255-7247
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
59
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51468
—
ND
01
—
7275
BLUE CROSS BLUE SHIELD
ND
Enumeration date
12/08/2006
Last updated
04/02/2018
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