Esmond Community Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

034 Issued in ND

Legal business name

ESMOND COMMUNITY AMBULANCE SERVICE

Practice address

216 2ND Ave NW
Esmond, ND 58332

Phone

(701) 249-3230

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Arlice Georgeson

Title

Secretary/Treasurer

Phone

(701) 249-3370

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205926730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 2ND AVE NW",
            "city": "ESMOND",
            "state": "ND",
            "postal_code": "58332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 2ND AVE NW",
            "city": "ESMOND",
            "state": "ND",
            "postal_code": "58332",
            "telephone_number": "701-249-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESMOND COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGESON",
        "authorized_official_first_name": "ARLICE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "701-249-3370"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "59013524",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7662",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53781",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Jean Lee Crum
• Lorenna L Devoe
• Kayla Knudson
• Michelle Ann Tollerud
• Lisa Marie Wentz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.