Active NPI
Bowdon Ambulance Service District
- Ambulance
- Bowdon, ND
National Provider Identifier
1366784126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 016
- Legal business name
- BOWDON AMBULANCE SERVICE DISTRICT
- Practice address
- 211 Warrington Ave
Bowdon, ND 58418 - Phone
- (701) 962-3646
- NPI assigned
- Mar 20, 2013
- Last updated
- Nov 26, 2013
- 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
- Cheryl Flick
- Title
- Board President
- Phone
- (701) 324-4483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 016 | ND | Primary |
Addresses
Primary practice location
211 Warrington Ave
Bowdon, ND 58418
Mailing address
211 Warrington Ave
PO Box 27
Bowdon, ND 58418-0027
Phone (701) 962-3646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56179 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130401000200 | ND | Part B Supplier - Ambulance Service Supplier | 2365687076 | Practice locations: Bowdon, ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385424000000",
"number": "1366784126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 WARRINGTON AVE",
"address_2": "PO BOX 27",
"city": "BOWDON",
"state": "ND",
"postal_code": "584180027",
"telephone_number": "701-962-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 WARRINGTON AVE",
"city": "BOWDON",
"state": "ND",
"postal_code": "58418",
"telephone_number": "701-962-3646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWDON AMBULANCE SERVICE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-20",
"last_updated": "2013-11-26",
"status": "A",
"authorized_official_last_name": "FLICK",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "BOARD PRESIDENT",
"authorized_official_telephone_number": "701-324-4483"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ND",
"license": "016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56179",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowdon, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.