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Contact Information

BERTHOLD AMBULANCE SERVICES
15 3RD AVE NW
BERTHOLD, ND58718
 Phone: 701-721-7316
 Fax: 701-453-3299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for BERTHOLD AMBULANCE SERVICES

NPI Number 1871719914
LBN Legal business name BERTHOLD AMBULANCE SERVICES
Authorized official NICHOLE DEGENSTEIN - (SEC/TRES)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 12/20/2012 - About 13 years ago
Identifiers
ND License # 006
ND Medicaid 52290
ND Other 7532 ND BLUE CROSS BLUE SHIELD
ND Other 590015360 RAILROAD MEDICAL PROVIDER
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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