| Organization Name: | BOTTINEAU AMBULANCE SERVICE |
| NPI Number: | 1699817270 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATIE DEL TARNBURRINO SAYKALLY (PRESIDENT) |
| Mailing Address: | 323 Bennett St Bottineau |
| State: | ND US |
| Postal Code: | 58318 |
| Phone Number: | 7012286904 |
| Fax Number: | 7012286901 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0014 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ND |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |