| Organization Name: | WALHALLA AMBULANCE SERVICE |
| NPI Number: | 1467665513 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEVERLY J. CLAIRMONT (BOARD MEMBER-WALHALLA AMBULANCE SER) |
| Mailing Address: | 1309 Delano Avenue Walhalla |
| State: | ND US |
| Postal Code: | 58282 |
| Phone Number: | 7015492609 |
| Fax Number: | 7015492625 |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 05/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 127 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |