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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