City of Fessenden

Primary specialty

AmbulanceTaxonomy code 341600000X

License

036 Issued in ND

Legal business name

CITY OF FESSENDEN

Doing business as

Fessenden Ambulance Service

Practice address

116 3Rd Ave N
Fessenden, ND 58438-7206

Phone

(701) 547-3111

NPI assigned

Oct 12, 2006

Last updated

Jul 16, 2008By 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

Janelle Pepple

Title

Treasurer

Phone

(701) 547-3319

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FESSENDEN AMBULANCE SERVICE Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1184713679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "FESSENDEN",
            "state": "ND",
            "postal_code": "584380193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 3RD AVE N",
            "city": "FESSENDEN",
            "state": "ND",
            "postal_code": "584387206",
            "telephone_number": "701-547-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FESSENDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "PEPPLE",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "701-547-3319"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7283",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55094",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FESSENDEN AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Elizabeth Allmaras, NP-C, MSN, APRN, BS
• Randy Carlson, LSE
• Fessenden Ambulance District (Fessenden Ambulance Service)
• Foster Eddy Wells County Social Services
• Laurene Heintz, SLP
• Kara Knecht
• Alicia L Lamm, LBSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.