Organization
WEST TRAILL AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN HOFER (PRESIDENT)
(701) 371-2827
Entity
Organization
Contact information
Practice address
43 7TH AVE SE, MAYVILLE, ND 58257
(701) 371-2827
(888) 964-8168
Mailing address
PO BOX 545, MAYVILLE, ND 58257-0545
(701) 371-2827
(888) 964-8168
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
77
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007301
BLUE CROSS BLUE SHIELD
ND
05
—
51793
—
ND
Enumeration date
07/26/2006
Last updated
06/21/2018
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