Active NPI
Richardton Rural Fire Protection District
- Ambulance
- Richardton, ND
National Provider Identifier
1104900604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 109
- Legal business name
- RICHARDTON RURAL FIRE PROTECTION DISTRICT
- Practice address
- 112 S Main St
Richardton, ND 58652-7204 - Phone
- (701) 260-3645
- NPI assigned
- Oct 24, 2006
- 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
- Lea Floberg
- Title
- Operations Officer
- Phone
- (701) 974-4101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 109 | ND | Primary |
Addresses
Primary practice location
112 S Main St
Richardton, ND 58652-7204
Mailing address
PO Box 351
Richardton, ND 58652-0351
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55642 | Medicaid | ND | |
| 590006950 | Other | ND | RAILROAD MEDICARE |
| 7128 | Other | ND | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287532800000",
"number": "1104900604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351",
"city": "RICHARDTON",
"state": "ND",
"postal_code": "586520351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S MAIN ST",
"city": "RICHARDTON",
"state": "ND",
"postal_code": "586527204",
"telephone_number": "701-260-3645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARDTON RURAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2010-10-20",
"status": "A",
"authorized_official_last_name": "FLOBERG",
"authorized_official_first_name": "LEA",
"authorized_official_title_or_position": "OPERATIONS OFFICER",
"authorized_official_telephone_number": "701-974-4101"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ND",
"license": "109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55642",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590006950",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7128",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.