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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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