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Contact Information

GACKLE AMBULANCE SERVICE
201 MAIN ST
GACKLE, ND58442-7111
 Phone: 701-485-3655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for GACKLE AMBULANCE SERVICE

NPI Number 1689751158
LBN Legal business name GACKLE AMBULANCE SERVICE
Authorized official JAMES OWEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 12/29/2008 - About 17 years ago
Identifiers
ND License # 042
ND Medicaid 53784
ND Other 23264 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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