Fessenden Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0036 Issued in ND

Legal business name

FESSENDEN AMBULANCE DISTRICT

Doing business as

Fessenden Ambulance Service

Practice address

602 Railway St N
Fessenden, ND 58438

Phone

(701) 547-3319

NPI assigned

Mar 25, 2010

Last updated

Jun 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janelle Pepple

Title

Treasurer

Phone

(701) 547-3319

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fessenden Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1356665962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "FESSENDEN",
            "state": "ND",
            "postal_code": "584380193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 RAILWAY ST N",
            "city": "FESSENDEN",
            "state": "ND",
            "postal_code": "58438",
            "telephone_number": "701-547-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FESSENDEN AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "PEPPLE",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "701-547-3319"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "0036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55788",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fessenden Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Elizabeth Allmaras, NP-C, MSN, APRN, BS
• Randy Carlson, LSE
• City of Fessenden (Fessenden Ambulance Service)
• Foster Eddy Wells County Social Services
• Laurene Heintz, SLP
• Kara Knecht
• Alicia L Lamm, LBSW
• Nilles Drug Inc

• Land Ambulance in Fessenden, ND
• Providers in Fessenden, ND by specialty
• Land Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.