Active NPI
Richardton Taylor Rural Ambulance District
- Ambulance
- Richardton, ND
National Provider Identifier
1023359072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 109
- Legal business name
- RICHARDTON TAYLOR RURAL AMBULANCE DISTRICT
- Practice address
- 112 N Main St
Richardton, ND 58652-7038 - Phone
- (701) 590-4229
- NPI assigned
- Mar 14, 2013
- Last updated
- Mar 14, 2013
- 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
- Lea M Floberg, FNP-C, EMT-B
- Title
- Board President & Squad Leader
- Phone
- (701) 590-4229
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 109 | ND | Primary |
Addresses
Primary practice location
112 N Main St
Richardton, ND 58652-7038
Mailing address
112 N Main St
Richardton, ND 58652-7038
Phone (701) 590-4229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130716000575 | ND | Part B Supplier - Ambulance Service Supplier | 0840430831 | Practice locations: Richardton, ND |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Dickinson, ND
- NPI 1881673119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363219200000",
"number": "1023359072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N MAIN ST",
"city": "RICHARDTON",
"state": "ND",
"postal_code": "586527038",
"telephone_number": "701-590-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N MAIN ST",
"city": "RICHARDTON",
"state": "ND",
"postal_code": "586527038",
"telephone_number": "701-590-4229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARDTON TAYLOR RURAL AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A",
"authorized_official_last_name": "FLOBERG",
"authorized_official_first_name": "LEA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BOARD PRESIDENT & SQUAD LEADER",
"authorized_official_telephone_number": "701-590-4229",
"authorized_official_credential": "FNP-C, EMT-B"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ND",
"license": "109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardton, ND
- Jacobson Memorial Hospital Care Center (Richardton Clinic)
- Gregory Justin Johnson
- Renae Marie Kobriger
- Richardton Health Center, Inc. (Richardton Memorial Hospital and Health Center)
- Richardton Rural Fire Protection District
- S & V Inc (Country Drugstore)
- Doreen Studsrud, R.PH.
- Elias Donald Thienpont, RN
- Uspirend
- Darcy Uzdilla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.