Organization
PARK RIVER VOLUNTEER AMBULANCE
Active
Organization
PARK RIVER VOLUNTEER AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY G STAVEN (TREASURER)
(701) 284-6675
Entity
Organization
Contact information
Practice address
115 VIVIAN STREET, PARK RIVER, ND 58270-0106
(701) 284-6280
(701) 284-6228
Mailing address
PO BOX 106, PARK RIVER, ND 58270-0106
(701) 284-6280
(701) 284-6228
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050464
—
ND
01
—
7142
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/13/2006
Last updated
10/11/2007
Update your record
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