Active NPI
Bis-Man Transit Board
- Non-emergency Medical Transport (VAN)
- Bismarck, ND
National Provider Identifier
1104031509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- BIS-MAN TRANSIT BOARD
- Practice address
- 3750 E Rosser Ave
Bismarck, ND 58501-3380 - Phone
- (701) 258-6817
- Fax
- (701) 258-6752
- NPI assigned
- May 11, 2007
- Last updated
- Aug 22, 2020
- 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
- Jennifer Rae Kemmet
- Title
- Administrative Assistant
- Phone
- (701) 258-6817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | ND | Primary |
Addresses
Primary practice location
3750 E Rosser Ave
Bismarck, ND 58501-3380
Mailing address
3750 E Rosser Ave
Bismarck, ND 58501-3380
Phone (701) 258-6817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57664 | Medicaid | ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104031509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 E ROSSER AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013380",
"telephone_number": "701-258-6817",
"fax_number": "701-258-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 E ROSSER AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013380",
"telephone_number": "701-258-6817",
"fax_number": "701-258-6752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIS-MAN TRANSIT BOARD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KEMMET",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "701-258-6817"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57664",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.