Organization
ROLETTE AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMERA TUENGE (MANAGER)
(701) 246-3531
Entity
Organization
Contact information
Practice address
304 MAIN ST, ROLETTE, ND 58366
(701) 246-3531
Mailing address
PO BOX 565, ROLETTE, ND 58366-0565
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
112
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51964
—
ND
01
—
590007463
RAILROAD MEDICARE
ND
01
—
7339
BLUE CROSS BLUE SHIELD
ND
Enumeration date
11/07/2006
Last updated
12/28/2009
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