Organization
CITY OF COOPERSTOWN
Active
Other names
Cooperstown Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE HOYT (BILLING CLERK)
(701) 797-3613
Entity
Organization
Contact information
Practice address
611 9TH ST. NE, COOPERSTOWN, ND 58425-0712
(701) 797-3613
Mailing address
PO BOX 712, COOPERSTOWN, ND 58425-0712
(701) 797-3613
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10538
BLUECROSS BLUESHIELD
ND
05
—
50502
—
ND
Enumeration date
05/23/2007
Last updated
08/03/2010
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