Kidder County Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

117 Issued in ND

Legal business name

KIDDER COUNTY AMBULANCE SERVICE INC

Doing business as

Kidder County Ambulance

Practice address

120 N Mitchell
Steele, ND 58482

Phone

(701) 475-2595

NPI assigned

Nov 8, 2006

Last updated

Mar 20, 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

Mona Thompson, PARAMEDIC

Title

Coordinator

Phone

(701) 475-2595

Specialties & licenses 1

Addresses

Other names 1

• Kidder County Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1164592184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585540974",
            "telephone_number": "701-250-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MITCHELL",
            "city": "STEELE",
            "state": "ND",
            "postal_code": "58482",
            "telephone_number": "701-475-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDER COUNTY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "701-475-2595",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidder County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad M Bergan, MPT
• Dakota Physical Therapy, P C
• Erin Lynn Dewitz, DNP
• Four Seasons Wellness, PLLC
• Golden Manor Inc
• Kidder County Chiropractic
• Kidder County District Health Unit
• Kidder County Primary Healthcare Corporation (Kidder County Community Health Center)
• Kidder County Social Service Board (Kidder County Social Services)
• Jamie Nelson

• Ambulance in Steele, ND
• Providers in Steele, ND by specialty
• Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.