Bismarck Air Medical, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

604 Issued in ND

Legal business name

BISMARCK AIR MEDICAL, LLC

Practice address

2940 N 19TH St
Bismarck, ND 58503-5393

Phone

(701) 255-0812

Fax

(701) 255-7247

NPI assigned

Jun 23, 2005

Organization subpart

No

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

Authorized official

Name

Jonathan Simmers

Title

Owner

Phone

(701) 225-4754

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Metro Area Ambulance Service, Inc

  • Land Ambulance
  • Bismarck, ND
  • NPI 1922004092

  Member Of

  NPD member
• Sanford Bismarck

  • Community Based Hospice Care Agency
  • Mandan, ND
  • NPI 1477631745

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1255337333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 UNIVERSITY DR BLDG 53",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047595",
            "telephone_number": "701-225-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N 19TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035393",
            "telephone_number": "701-255-0812",
            "fax_number": "701-255-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISMARCK AIR MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "SIMMERS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-225-4754"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "ND",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058983",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441847",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A779450900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124477900",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54450",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020250",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ND",
            "identifier": "BIS23241",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bis-Man Transit Board
• Lauren Bischof
• Melinda Bischoff-Voeller
• Bismarck Advanced Dental and Implants GP
• Bismarck Cancer Center
• Bismarck Counseling & Consulting, PLLC
• Bismarck Dermatology Center PC
• Bismarck Eyecare, P.C.
• Bismarck Family Dental,PC

• All providers in Bismarck, ND
• Air Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.