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Organization

BOTTINEAU AMBULANCE SERVICE

Active
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Organization

BOTTINEAU AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATIE DEL TARNBURRINO SAYKALLY AEMT (PRESIDENT)
(701) 228-6901
Entity
Organization

Contact information

Practice address
323 BENNETT ST, BOTTINEAU, ND 58318
(701) 228-6904
(701) 228-6901
Mailing address
PO BOX 93, BOTTINEAU, ND 58318-0093
(701) 228-6904
(701) 228-6901

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
0014
ND
3416L0300X
Land Ambulance
Primary
14
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050160
ND
Enumeration date
02/12/2007
Last updated
06/02/2016
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