Stanley Ambulance Service
Organization Active NPI Ambulance · Stanley, ND
NPI 1154411668 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154411668
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 116 (ND)
- Legal business name
- STANLEY AMBULANCE SERVICE
- Practice address
- 221 Main St South
Stanley, ND 58784-0955 - Phone
- (701) 628-6245
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Debra Johnson
- Title
- Squad Leader
- Phone
- (701) 628-6245
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 116 | ND | Yes |
Addresses
Primary practice location
221 Main St South
Stanley, ND 58784-0955
Mailing address
221 Main St South
Stanley, ND 58784-0955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7333 | Other | ND | BLUE CROSS BLUE SHIELD |
| 51400 | Medicaid | ND |
Other providers in Stanley, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.