Spirit Lake Tribe

NPI #1053515783 in Fort Totten, North Dakota

Provider Information

NPI Number: 1053515783
Entity Type: Organization
Organization Name: Spirit Lake Tribe
Primary Specialty: Ambulance
Enumeration Date: Jun 14, 2007
Last Updated: Feb 8, 2009

Practice Location

Address: 1403 BRUNSWICK AVE
City: Fort Totten
State: North Dakota
ZIP Code: 58335-0449
Phone: (701) 766-1714

Authorized Official

Name: MRS. KATE I JOHNSON, PARAMEDIC
Title: EMS DIRECTOR
Phone: (701) 766-1714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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