Kidder County Ambulance Service Inc
Organization Active NPI Ambulance · Steele, ND
NPI 1164592184 · NPPES record last updated Mar 20, 2013
Key facts
- NPI
- 1164592184
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 117 (ND)
- Legal business name
- KIDDER COUNTY AMBULANCE SERVICE INC
- Practice address
- 120 N Mitchell
Steele, ND 58482 - Phone
- (701) 475-2595
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mona Thompson, PARAMEDIC
- Title
- Coordinator
- Phone
- (701) 475-2595
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040611000105 | ND | Part B Supplier - Ambulance Service Supplier | 0345223251 | Practice locations: Steele, ND |
National Provider Directory
Locations
120 Mitchell Ave N
Steele, ND 58482
Phone (701) 475-2595
120 N Mitchell
Steele, ND 58482
Phone (701) 475-2595
120 Mitchell Ave N
Steele, ND 58482
Phone (701) 475-2595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 117 | ND | Yes |
Addresses
Primary practice location
120 N Mitchell
Steele, ND 58482
Mailing address
PO Box 974
Mandan, ND 58554-0974
Phone (701) 250-6361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KID10702 | Other | ND | BLUE CROSS |
| 52701 | Medicaid | ND |
Other names
- Kidder County Ambulance
Other providers in Steele, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2013. 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.