Organization
POWERS LAKE AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI ENGET (SQUAD LEADER)
(701) 464-5566
Entity
Organization
Contact information
Practice address
115 RAILROAD AVE WEST, POWERS LAKE, ND 58773
(701) 464-5555
Mailing address
PO BOX 316, POWERS LAKE, ND 58773
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
106
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54256
—
ND
01
—
590014467
RAILROAD MEDICARE
ND
01
—
7151
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/16/2006
Last updated
04/13/2009
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