Sargent Co Ambulance of Milnor
Organization Active NPI Ambulance · Milnor, ND
NPI 1124118583 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1124118583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 86 (ND)
- Legal business name
- SARGENT CO AMBULANCE OF MILNOR
- Practice address
- 323 Main St.
Milnor, ND 58060-0098 - Phone
- (701) 427-5333
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian H Tayer
- Title
- Coordinator
- Phone
- (701) 427-5333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100224000609 | ND | Part B Supplier - Ambulance Service Supplier | 9638213994 | Practice locations: Milnor, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 86 | ND | Yes |
Addresses
Primary practice location
323 Main St.
Milnor, ND 58060-0098
Mailing address
PO Box 98
Milnor, ND 58060-0098
Phone (701) 427-5333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7120 | Other | ND | BLUE CROSS |
| 56350 | Medicaid | ND |
Other providers in Milnor, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.