Organization Active NPI

Barnes County Ambulance Inc

  • Paramedic
  • Valley City, ND
National Provider Identifier
1194926659
Registry record updated Jun 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
107840 Issued in ND
Legal business name
BARNES COUNTY AMBULANCE INC
Practice address
914 11TH Ave SW
Valley City, ND 58072
Phone
(701) 845-1745
NPI assigned
May 30, 2007
Last updated
Jun 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2018

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

Authorized official

Name
Mr. Scott Miller
Title
Emt-Paramedic
Phone
(701) 845-5986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 107840 ND Primary

Addresses

Primary practice location

914 11TH Ave SW
Valley City, ND 58072

Mailing address

914 11TH Ave SW
Valley City, ND 58072-3621
Phone (701) 845-1745

Other identifiers 3

IdentifierTypeStateIssuer
P00080154OtherNDRR MEDICARE PIN
BAR22169OtherNDBCBS PIN
54142MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100422000700 ND Part B Supplier - Ambulance Service Supplier 4486781440 Practice locations: Valley City, ND

National Provider Directory

National Provider Directory

Locations

674 15th Ave SW
Valley City, ND 58072
Phone (701) 840-2417

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529798400000",
    "number": "1194926659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 11TH AVE SW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723621",
            "telephone_number": "701-845-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 11TH AVE SW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "58072",
            "telephone_number": "701-845-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES COUNTY AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2018-06-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EMT-PARAMEDIC",
        "authorized_official_telephone_number": "701-845-5986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "ND",
            "license": "107840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00080154",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "BAR22169",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54142",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; 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.