Active NPI
Regent Ambulance Service
- Ambulance
- Regent, ND
National Provider Identifier
1245390129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- REGENT AMBULANCE SERVICE
- Practice address
- 308 West 2ND Street
Regent, ND 57650 - Phone
- (218) 233-5658
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Hartmann
- Title
- President
- Phone
- (218) 233-5658
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | ND | Primary |
Addresses
Primary practice location
308 West 2ND Street
Regent, ND 57650
Mailing address
PO Box 91
Regent, ND 58650-0091
Phone (218) 233-5658
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54974 | Medicaid | ND | |
| 7305 | Other | ND | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050107000886 | ND | Part B Supplier - Ambulance Service Supplier | 6901854793 | Practice locations: Regent, ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1245390129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91",
"city": "REGENT",
"state": "ND",
"postal_code": "586500091",
"telephone_number": "218-233-5658",
"fax_number": "218-233-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 WEST 2ND STREET",
"city": "REGENT",
"state": "ND",
"postal_code": "57650",
"telephone_number": "218-233-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENT AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "HARTMANN",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "218-233-5658"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54974",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7305",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.