Organization
GACKLE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES OWEN (PRESIDENT)
(701) 485-3238
Entity
Organization
Contact information
Practice address
201 MAIN ST, GACKLE, ND 58442-7111
(701) 485-3655
Mailing address
PO BOX 277, GACKLE, ND 58442-0277
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
042
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23264
BLUE CROSS BLUE SHIELD
ND
05
—
53784
—
ND
Enumeration date
11/01/2006
Last updated
12/29/2008
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