Organization
CITY OF PLAZA
Active
Other names
Plaza Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L. JOHNSON EMT B (SERVICE LEADER MANAGER)
(701) 497-3766
Entity
Organization
Contact information
Practice address
409 4TH AVE COVELL ST, PLAZA, ND 58771-0057
(701) 497-3368
Mailing address
409 4TH AVE COVELL ST, BOX 57, PLAZA, ND 58771-0057
(701) 720-3311
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
104
ND
Other
Enumeration date
10/13/2006
Last updated
04/23/2010
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