Active NPI
Halliday Rural Fire Protection District
- Ambulance
- Halliday, ND
National Provider Identifier
1003986092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 50
- Legal business name
- HALLIDAY RURAL FIRE PROTECTION DISTRICT
- Practice address
- 32 E Main St
Halliday, ND 58636 - Phone
- (701) 938-4321
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Selle
- Title
- Squad Leader
- Phone
- (701) 938-4321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 50 | ND | Primary |
Addresses
Primary practice location
32 E Main St
Halliday, ND 58636
Mailing address
PO Box 974
Mandan, ND 58554-0974
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAL7292 | Other | ND | BLUE CROSS |
| 52153 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629000829 | ND | Part B Supplier - Ambulance Service Supplier | 5698751659 | Practice locations: Halliday, ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190332800000",
"number": "1003986092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 974",
"city": "MANDAN",
"state": "ND",
"postal_code": "585540974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 E MAIN ST",
"city": "HALLIDAY",
"state": "ND",
"postal_code": "58636",
"telephone_number": "701-938-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALLIDAY RURAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2007-09-21",
"status": "A",
"authorized_official_last_name": "SELLE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "SQUAD LEADER",
"authorized_official_telephone_number": "701-938-4321"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ND",
"license": "50",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "HAL7292",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52153",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Halliday, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.