Healthcare Provider Details

I. General information

NPI: 1710084066
Provider Name (Legal Business Name): MUNICH AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 MAIN ST
MUNICH ND
58352-4009
US

IV. Provider business mailing address

PO BOX 204
MUNICH ND
58352-0204
US

V. Phone/Fax

Practice location:
  • Phone: 701-682-5428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number091
License Number StateND

VIII. Authorized Official

Name: RITA WIRTH
Title or Position: OFFICE MANAGER
Credential:
Phone: 701-682-5136