Richardton Taylor Rural Ambulance District
Organization Active NPI Ambulance · Richardton, ND
NPI 1023359072 · NPPES record last updated Mar 14, 2013
Key facts
- NPI
- 1023359072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 109 (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
- Organization subpart
- No
Authorized official
- Name
- Lea M Floberg, FNP-C, EMT-B
- Title
- Board President & Squad Leader
- Phone
- (701) 590-4229
Practitioners 1
-
Lea M Floberg, FNP C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130716000575 | ND | Part B Supplier - Ambulance Service Supplier | 0840430831 | Practice locations: Richardton, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 109 | ND | Yes |
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
Other providers in Richardton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.