Healthcare Provider Details

I. General information

NPI: 1588762306
Provider Name (Legal Business Name): CARPIO AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MAIN ST. BOX 83
CARPIO ND
58725-0070
US

IV. Provider business mailing address

PO BOX 83
CARPIO ND
58725-0083
US

V. Phone/Fax

Practice location:
  • Phone: 701-468-5568
  • Fax:
Mailing address:
  • Phone: 701-468-5568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number020
License Number StateND

VIII. Authorized Official

Name: MR. ALVIS MARTINSON
Title or Position: SECRETARY/TREASURER
Credential:
Phone: 701-468-5568