Organization Active NPI

Richardton Taylor Rural Ambulance District

  • Ambulance
  • Richardton, ND
National Provider Identifier
1023359072
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
109 Issued in ND
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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-BNPI 1881673119
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130716000575 ND Part B Supplier - Ambulance Service Supplier 0840430831 Practice locations: Richardton, ND

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.