Healthcare Provider Details

I. General information

NPI: 1568449528
Provider Name (Legal Business Name): RUGBY EMERGENCY AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MAIN AVE
RUGBY ND
58368-2118
US

IV. Provider business mailing address

800 S MAIN AVE
RUGBY ND
58368-2118
US

V. Phone/Fax

Practice location:
  • Phone: 701-776-5455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number114
License Number StateND

VIII. Authorized Official

Name: CINDY VOELLER
Title or Position: SECRETARY TREASURER
Credential:
Phone: 701-776-5261