Organization Active NPI

Ashley Ambulance Association

  • Ambulance
  • Ashley, ND
National Provider Identifier
1104931815
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3 Issued in ND
Legal business name
ASHLEY AMBULANCE ASSOCIATION
Practice address
612 Center Ave N
Ashley, ND 58413-7013
Phone
(701) 288-3433
Fax
(701) 288-3213
NPI assigned
Aug 20, 2006
Last updated
Aug 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Corinne Lepp
Title
Billing Manager
Phone
(701) 288-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3 ND Primary

Addresses

Primary practice location

612 Center Ave N
Ashley, ND 58413-7013

Mailing address

PO Box 504
Ashley, ND 58413-0504
Phone (701) 288-3433

Other identifiers 3

IdentifierTypeStateIssuer
7317OtherNDBLUE CROSS BLUE SHIELD
052790MedicaidND
9003020OtherSDMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100611000408 ND Part B Supplier - Ambulance Service Supplier 6406986843 Practice locations: Ashley, ND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1104931815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "ASHLEY",
            "state": "ND",
            "postal_code": "584130504",
            "telephone_number": "701-288-3433",
            "fax_number": "701-288-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CENTER AVE N",
            "city": "ASHLEY",
            "state": "ND",
            "postal_code": "584137013",
            "telephone_number": "701-288-3433",
            "fax_number": "701-288-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "LEPP",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "701-288-3433"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7317",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052790",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "9003020",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashley, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.