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Contact Information

PORTAL AMBULANCE
301 CLARK ST
PORTAL, ND58772
 Phone: 701-839-6326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for PORTAL AMBULANCE

NPI Number 1962574848
LBN Legal business name PORTAL AMBULANCE
Authorized official LISA KNUTSON - (SQUAD LEADER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 06/10/2013 - About 13 years ago
Identifiers
ND License # 105
ND Medicaid 50505
ND Other 7409 BLUE CROSS BLUE SHIELD
ND Other 590013588 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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