SARGENT COUNTY AMBULANCE FORMAN SQUAD NPI 1265514756

NPI Information

SARGENT COUNTY AMBULANCE FORMAN SQUAD is a land transport ambulance in Forman, ND. SARGENT COUNTY AMBULANCE FORMAN SQUAD NPI is 1265514756. The provider is registered as an organization entity type.
The provider Is Doing Business As Sargent County Ambulance.

The provider's business location address is:

355 MAIN ST S
FORMAN, ND
ZIP 58032
Phone: (701) 724-6241

The provider's authorized official is Trent Mahler .
The authorized official title is Coordinator and has the following contact phone number (701) 680-3974.

The CLIA number assigned to this NPI record is 35D1011929 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 10/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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