Active NPI
Leeds Ambulance Service
- Land Ambulance
- Leeds, ND
National Provider Identifier
1346395191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 070
- Legal business name
- LEEDS AMBULANCE SERVICE
- Practice address
- 130 1St Ave NW
Leeds, ND 58346 - Phone
- (701) 466-2619
- NPI assigned
- Jan 24, 2007
- 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
- Joshua Haagenson
- Title
- Treasurer
- Phone
- (218) 902-0457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 070 | ND | Primary |
Addresses
Primary practice location
130 1St Ave NW
Leeds, ND 58346
Mailing address
PO Box 361
Leeds, ND 58346-0361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590012618 | Other | ND | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090416000556 | ND | Part B Supplier - Ambulance Service Supplier | 9830246495 | Practice locations: Leeds, ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1346395191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361",
"city": "LEEDS",
"state": "ND",
"postal_code": "583460361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 1ST AVE NW",
"city": "LEEDS",
"state": "ND",
"postal_code": "58346",
"telephone_number": "701-466-2619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEEDS AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "HAAGENSON",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "218-902-0457"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ND",
"license": "070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590012618",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leeds, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.