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Organization

MADDOCK AMBULANCE SERVICE

Active
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Organization

MADDOCK AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE ERIN ANDERSON (SERVICE MANAGER)
(701) 425-4313
Entity
Organization

Contact information

Practice address
99 WESTERN AVE, MADDOCK, ND 58348
(701) 438-2319
Mailing address
PO BOX 218, MADDOCK, ND 58348-0218
(701) 425-4313

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
074
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50942
ND
01
7189
BLUE CROSS BLUE SHIELD
ND
01
P00075504
RAILROAD MEDICARE
ND
Enumeration date
01/05/2007
Last updated
07/22/2026
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