Organization
GRANT-ROBERTS AMBULANCE INC
Active
Other names
Ortonville Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
BARRET JAY WICKLUND (OWNER)
(218) 739-5875
Entity
Organization
Contact information
Practice address
305 E RAILWAY AVE, MILBANK, SD 57252-1322
(605) 432-6783
Mailing address
PO BOX 623, MILBANK, SD 57252-0623
(605) 432-6783
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0291
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005222
BLUE CROSS BLUE SHIELD
SD
05
—
9017010
—
SD
Enumeration date
12/08/2006
Last updated
05/15/2025
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