Healthcare Provider Details

I. General information

NPI: 1538369780
Provider Name (Legal Business Name): HANKINSON AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 MAIN AVE N HANKINSON FIRE & AMBULANCE MEETING ROOM
HANKINSON ND
58041
US

IV. Provider business mailing address

PO BOX 96 102 MAIN AVE N
HANKINSON ND
58041-0096
US

V. Phone/Fax

Practice location:
  • Phone: 701-242-7780
  • Fax: 701-242-7786
Mailing address:
  • Phone: 701-242-7780
  • Fax: 701-242-7786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number051
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: VICKY BRAATEN
Title or Position: TREASURER
Credential:
Phone: 701-242-8245