Organization
KILLDEER AREA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORI KILBER (TREASURER)
(701) 764-6300
Entity
Organization
Contact information
Practice address
151 CENTRAL AVENUE NORTH, KILLDEER, ND 58640-0033
(701) 764-6300
Mailing address
PO BOX 33, KILLDEER, ND 58640-0033
(701) 764-6300
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
62
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57297
—
ND
01
—
70505
BLUE CROSS BLUE SHIELD
ND
Enumeration date
04/09/2007
Last updated
02/05/2008
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