Organization Active NPI

Richardton Rural Fire Protection District

  • Ambulance
  • Richardton, ND
National Provider Identifier
1104900604
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
109 Issued in ND
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

Updated by the provider on Oct 20, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
55642MedicaidND
590006950OtherNDRAILROAD MEDICARE
7128OtherNDBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.