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Contact Information

LIDGERWOOD RURAL AMBULANCE SERVICE
146 WILEY AVE S
LIDGERWOOD, ND58053
 Phone: 701-538-4344
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for LIDGERWOOD RURAL AMBULANCE SERVICE

NPI Number 1295896934
LBN Legal business name LIDGERWOOD RURAL AMBULANCE SERVICE
Authorized official SANDY FOSSUM - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 08/08/2018 - About 8 years ago
Identifiers
ND License # 071
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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