Organization
TIOGA FIRE DEPARTMENT
Active
Other names
Tioga Fire Department/Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL K. PEDERSON (TREASURER)
(701) 664-5757
Entity
Organization
Contact information
Practice address
11 N. WELO ST, TIOGA, ND 58852-0451
(701) 664-5757
(701) 664-3424
Mailing address
PO BOX 451, TIOGA, ND 58852-0451
(701) 664-3305
(701) 664-2240
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
118
ND
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059
BLUE SHIELD OF ND
ND
05
—
56117
—
ND
01
—
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ND WORKFORCE SAFETY & INS
ND
Enumeration date
07/28/2005
Last updated
10/27/2022
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