Organization
DIVIDE COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D SWANSON (EMS OPERATIONS MANAGER)
(701) 713-6038
Entity
Organization
Contact information
Practice address
702 1ST ST SW, CROSBY, ND 58730-3329
(701) 713-6038
Mailing address
107 WEST CENTRAL AVE, PO BOX 31, CROSBY, ND 58730-0031
(701) 965-6321
(701) 965-4444
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
027
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50290
—
ND
01
—
7105
BLUE CROSS BLUE SHIELD
ND
Enumeration date
05/14/2007
Last updated
10/05/2020
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