| NPI | 1962614461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M FLOM Manager/Director 701-259-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: ND 85) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: ND 085) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-12-19 |