Provider Demographics
NPI:1447357793
Name:PARSHALL RURAL AMBULANCE SERVICE
Entity type:Organization
Organization Name:PARSHALL RURAL AMBULANCE SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:FOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-862-4165
Mailing Address - Street 1:116 1ST AVE NE
Mailing Address - Street 2:PO BOX 398
Mailing Address - City:PARSHALL
Mailing Address - State:ND
Mailing Address - Zip Code:58770-0398
Mailing Address - Country:US
Mailing Address - Phone:701-862-3711
Mailing Address - Fax:701-862-3705
Practice Address - Street 1:116 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:PARSHALL
Practice Address - State:ND
Practice Address - Zip Code:58770-0398
Practice Address - Country:US
Practice Address - Phone:701-862-3711
Practice Address - Fax:701-862-3705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND102341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND51826Medicaid
ND7330OtherBLUE CROSS/BLUE SHIELD
ND590095391OtherRAILROAD MEDICARE
NDN7330Medicare ID - Type Unspecified