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Contact Information

SARGENT COUNTY AMBULANCE FORMAN SQUAD
355 MAIN ST S
FORMAN, ND58032
 Phone: 701-724-6241
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
 

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for SARGENT COUNTY AMBULANCE FORMAN SQUAD

NPI # 1265514756
LBN Legal business name SARGENT COUNTY AMBULANCE FORMAN SQUAD
Authorized official TRENT MAHLER - (COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 11/19/2024 - More than a year ago
Identifiers
ND License # 040
ND Medicaid 50033
ND Other 7298 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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