Organization
GLENBURN AREA AMBULANCE SERVICE INCORPORATED
Active
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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