Organization
CITY OF NEW ROCKFORD
Active
Other names
COMMUNITY AMBULANCE SERVICE OF NEW ROCKFORD
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY O'CONNOR (SQUAD LEADER/BOARD MEMBER)
(701) 947-2989
Entity
Organization
Contact information
Practice address
117 1ST ST S, NEW ROCKFORD, ND 58356-1926
(701) 947-2404
Mailing address
PO BOX 246, NEW ROCKFORD, ND 58356-0246
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
095
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51349
—
ND
01
—
7279
BLUE CROSS BLUE SHIELD
ND
01
—
791590360
RAILROAD MEDICARE
ND
Enumeration date
10/10/2006
Last updated
06/25/2008
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