Ellendale Community Ambulance Service
LBN: City Of Ellendale
Ellendale Community Ambulance Service is an health care organization with primary practice located at 55 3Rd Ave S , Ellendale ND 58436. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty.
City Of Ellendale can be contacted via phone (701) 349-3364, or through Gulke, Corey Erwin via phone (701) 349-3364.
Contact Information
Primary practice address
55 3Rd Ave S
Ellendale ND 58436
Phone: (701) 349-3364
Fax: (701) 349-3333
Website:
Authorized official contact:
Name: Gulke, Corey Erwin Nationally Registered Paramedic (NREMT-P)
Phone: (701) 349-3364
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Land Transport | 3416L0300X | 33 | North Dakota |
Profile Details
| NPI number | 1609926013 |
|---|---|
| LBN Legal business name | City Of Ellendale |
| DBA Doing business as | Ellendale Community Ambulance Service |
| Authorized official | Gulke, Corey Erwin Nationally Registered Paramedic (NREMT-P) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 2nd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609926013 | NPPES |
| North Dakota | Other | 2955-001 | BC-BS PROVIDER |
| North Dakota | Other | 590095437 | BC-BS PROVIDER |
| North Dakota | MEDICAID | 52179 | BC-BS PROVIDER |
| North Dakota | Other | 9010790 | BC-BS PROVIDER |
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