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Organization

CASSELTON AMBULANCE SERVICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH G HABIGER (PRESIDENT)
(701) 347-4004
Entity
Organization

Contact information

Practice address
101 6TH AVE S, CASSELTON, ND 58012-3533
(701) 347-4004
(701) 347-4004
Mailing address
101 6TH AVE S, CASSELTON, ND 58012-3533
(701) 347-4004
(701) 347-4004

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
023
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050269
ND
Enumeration date
06/09/2005
Last updated
02/17/2010
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