Organization
GLENBURN AREA AMBULANCE SERVICE INCORPORATED
Active
Other names
Glenburn Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI SPOKELY (SECRETARY/TREASURER)
(701) 263-5620
Entity
Organization
Contact information
Practice address
104 3RD AVE S, GLENBURN, ND 58740-0095
(701) 263-5620
Mailing address
PO BOX 95, GLENBURN, ND 58740-0095
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
045
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11239
BLUE CROSS BLUE SHIELD
ND
05
—
55617
—
ND
01
—
590008941
RAILROAD MEDICARE
ND
Enumeration date
11/15/2006
Last updated
02/11/2015
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