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Contact Information

PEMBINA AMBULANCE SERVICE
152 W ROLETTE ST STE 3
PEMBINA, ND58271-4442
 Phone: 701-825-6868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for PEMBINA AMBULANCE SERVICE

NPI Number 1801983028
LBN Legal business name PEMBINA AMBULANCE SERVICE
Authorized official BRIAN WILLIAMS - (SECRETARY / TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2006
Last updated 01/14/2010 - About 16 years ago
Identifiers
ND License # 103
ND Medicaid 51223
ND Other 11320 BLUE CROSS BLUE SHIELD
ND Other 590013486 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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