Organization Active NPI

Benson County Dba Benson County Transportation

  • Non-emergency Medical Transport (VAN)
  • Maddock, ND
National Provider Identifier
1073982484
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BENSON COUNTY DBA BENSON COUNTY TRANSPORTATION
Practice address
105 Central Ave
Suite 201
Maddock, ND 58348
Phone
(701) 438-2192
Fax
(701) 438-2715
NPI assigned
Sep 16, 2015
Last updated
Sep 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Susan Fossen
Title
Director
Phone
(701) 438-2192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

105 Central Ave
Suite 201
Maddock, ND 58348

Mailing address

105 Central Ave
Suite 201
Maddock, ND 58348
Phone (701) 438-2192

Other identifiers 1

IdentifierTypeStateIssuer
51562MedicaidND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1073982484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "MADDOCK",
            "state": "ND",
            "postal_code": "58348",
            "telephone_number": "701-438-2192",
            "fax_number": "701-438-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "MADDOCK",
            "state": "ND",
            "postal_code": "58348",
            "telephone_number": "701-438-2192",
            "fax_number": "701-438-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON COUNTY DBA BENSON COUNTY TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "FOSSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-438-2192"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51562",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maddock, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.