Organization Active NPI

New Town Ambulance Service Inc

  • Land Ambulance
  • New Town, ND
National Provider Identifier
1124060884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
97 Issued in ND
Legal business name
NEW TOWN AMBULANCE SERVICE INC
Practice address
300 Main St
New Town, ND 58763-4001
Phone
(701) 627-2992
Fax
(701) 627-2993
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lori Ann Wolff, PARAMEDIC
Title
Manager
Phone
(701) 627-2992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 97 ND Primary

Addresses

Primary practice location

300 Main St
New Town, ND 58763-4001

Mailing address

300 Main St
New Town, ND 58763-4001
Phone (701) 627-2992

Other identifiers 1

IdentifierTypeStateIssuer
52286MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000363 ND Part B Supplier - Ambulance Service Supplier 1850495813 Practice locations: New Town, ND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124060884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587634001",
            "telephone_number": "701-627-2992",
            "fax_number": "701-627-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587634001",
            "telephone_number": "701-627-2992",
            "fax_number": "701-627-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TOWN AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-627-2992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52286",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Town, 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.
  • 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.