Wyndmere Barney Rural Ambulance Dist

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

136 Issued in ND

Legal business name

WYNDMERE BARNEY RURAL AMBULANCE DIST

Practice address

403 Ash Ave
Wyndmere, ND 58081

Phone

(701) 439-2780

Fax

(701) 439-2781

NPI assigned

Oct 5, 2006

Last updated

May 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ronda J Luebke

Title

Office Manager

Phone

(701) 439-2780

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1104913904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ASH AVE.",
            "address_2": "PO BOX 184",
            "city": "WYNDMERE",
            "state": "ND",
            "postal_code": "580810184",
            "telephone_number": "701-439-2780",
            "fax_number": "701-439-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ASH AVE",
            "city": "WYNDMERE",
            "state": "ND",
            "postal_code": "58081",
            "telephone_number": "701-439-2780",
            "fax_number": "701-439-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNDMERE BARNEY RURAL AMBULANCE DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "LUEBKE",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-439-2780",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55269",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Bell, CCC,SLP
• Taryn C Jensen

• Land Ambulance in Wyndmere, ND
• Providers in Wyndmere, ND by specialty
• Land Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.