Organization Active NPI

FM Ambulance Service, Inc

Doing business as Sanford Ambulance

  • Non-emergency Medical Transport (VAN)
  • Fargo, ND
National Provider Identifier
1093239931
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FM AMBULANCE SERVICE, INC
Doing business as
Sanford Ambulance
Practice address
2215 18TH St S
Fargo, ND 58103-5105
Phone
(701) 364-1700
Fax
(701) 364-1705
NPI assigned
Aug 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carolyn S Tuttle
Title
Sr Executive Director Revenue Cycle
Phone
(605) 328-8384

Specialties & licenses 1

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

Addresses

Primary practice location

2215 18TH St S
Fargo, ND 58103-5105

Mailing address

2215 18TH St S
Fargo, ND 58103-5105
Phone (701) 364-1700

Other names 1

  • Sanford Ambulance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FM Ambulance Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2215 18th St S
Fargo, ND 58103
Phone (701) 293-0408

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093239931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 18TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035105",
            "telephone_number": "701-364-1700",
            "fax_number": "701-364-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 18TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035105",
            "telephone_number": "701-364-1700",
            "fax_number": "701-364-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SR EXECUTIVE DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8384"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.