Healthcare Provider Details

I. General information

NPI: 1356422430
Provider Name (Legal Business Name): RYDER-MAKOTI RURAL FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 01/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61ST 2ND AVE E
MAKOTI ND
58756
US

IV. Provider business mailing address

PO BOX 13
MAKOTI ND
58756-0013
US

V. Phone/Fax

Practice location:
  • Phone: 701-726-5519
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number075
License Number StateND

VIII. Authorized Official

Name: JODY LYNN REINISCH
Title or Position: SQUAD LEADER
Credential:
Phone: 701-758-2271