Provider Demographics
NPI:1427211770
Name:PAGE AMBULANCE SERVICE
Entity Type:Organization
Organization Name:PAGE AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SATTOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-668-2395
Mailing Address - Street 1:PO BOX 106
Mailing Address - Street 2:
Mailing Address - City:PAGE
Mailing Address - State:ND
Mailing Address - Zip Code:58064-0106
Mailing Address - Country:US
Mailing Address - Phone:701-668-2395
Mailing Address - Fax:
Practice Address - Street 1:114 MORTON AVE
Practice Address - Street 2:
Practice Address - City:PAGE
Practice Address - State:ND
Practice Address - Zip Code:58064-0106
Practice Address - Country:US
Practice Address - Phone:701-668-2395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport