STANLEY AMBULANCE SERVICE; NPI #1154411668

Contact Information

STANLEY AMBULANCE SERVICE

221 MAIN ST SOUTH
STANLEY, ND 58784-0955

Phone: 701-628-6245
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for STANLEY AMBULANCE SERVICE

NPI # 1154411668

LBN Legal business name STANLEY AMBULANCE SERVICE

Authorized official DEBRA JOHNSON - (SQUAD LEADER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/13/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

ND	License #	116
ND	Medicaid	51400
ND	Other	7333	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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