MEDICARE: HANKINSON AMBULANCE DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance
2	341600000X	Ambulance	051	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7458	OTHER	ND	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538369780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANKINSON AMBULANCE DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 96
Second Line	:	102 MAIN AVE N
City	:	HANKINSON
State	:	ND
Zip	:	58041-0096
Country	:	US
Telephone Number	:	701-242-7780
Fax Number	:	701-242-7786

Provider Business Practice Location Address
First Line	:	102 MAIN AVE N
Second Line	:	HANKINSON FIRE & AMBULANCE MEETING ROOM
City	:	HANKINSON
State	:	ND
Zip	:	58041
Country	:	US
Telephone Number	:	701-242-7780
Fax Number	:	701-242-7786

Authorized Official
Title or Position	:	TREASURER
Name	:	VICKY BRAATEN
Credential	:
Telephone Number	:	701-242-8245

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	06/07/2024

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Directions to “HANKINSON AMBULANCE DISTRICT ” Practice Location

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