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Contact Information

MOHALL AMBULANCE SERVICE
105 MAIN ST WEST
MOHALL, ND58761
 Phone: 701-756-7159
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MOHALL AMBULANCE SERVICE

NPI # 1154411676
LBN Legal business name MOHALL AMBULANCE SERVICE
Authorized official DIANE WITTEMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
ND License # 089
ND Medicaid 56732
ND Other 7021 BLUE CROSS BLUE SHIELD
ND Other 59006107 RAILROAD MEDICARE
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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