Organization Active NPI

New England Ambulance Service

  • Land Ambulance
  • New England, ND
National Provider Identifier
1073673414
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
93 Issued in ND
Legal business name
NEW ENGLAND AMBULANCE SERVICE
Practice address
5848 Highway 22 S
New England, ND 58647-9103
Phone
(218) 233-5658
Fax
(218) 233-7630
NPI assigned
Dec 8, 2006
Last updated
Jun 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Madler
Title
Ambulance Treasurer
Phone
(701) 579-4376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 93 ND Primary

Addresses

Primary practice location

5848 Highway 22 S
New England, ND 58647-9103

Mailing address

5848 Highway 22 S
New England, ND 58647-9103
Phone (218) 233-5658

Other identifiers 2

IdentifierTypeStateIssuer
52409MedicaidND
7019OtherNDBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100521000565 ND Part B Supplier - Ambulance Service Supplier 1759410293 Practice locations: New England, ND

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1073673414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 HIGHWAY 22 S",
            "city": "NEW ENGLAND",
            "state": "ND",
            "postal_code": "586479103",
            "telephone_number": "218-233-5658",
            "fax_number": "218-233-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 HIGHWAY 22 S",
            "city": "NEW ENGLAND",
            "state": "ND",
            "postal_code": "586479103",
            "telephone_number": "218-233-5658",
            "fax_number": "218-233-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "MADLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AMBULANCE TREASURER",
        "authorized_official_telephone_number": "701-579-4376"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52409",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7019",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New England, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.