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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