Active NPI
New England Ambulance Service
- Land Ambulance
- New England, ND
National Provider Identifier
1073673414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 93
- 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, 2010
- 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
- Michael Madler
- Title
- Ambulance Treasurer
- Phone
- (701) 579-4376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52409 | Medicaid | ND | |
| 7019 | Other | ND | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100521000565 | ND | Part B Supplier - Ambulance Service Supplier | 1759410293 | Practice locations: New England, ND |
National Provider Directory
National Provider DirectoryNPI 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.