NPIMap

Organization Active NPI

Goodrich Ambulance Service

  • Ambulance
  • Goodrich, ND
National Provider Identifier
1376623124
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
046 Issued in ND
Legal business name
GOODRICH AMBULANCE SERVICE
Practice address
122 McKinley
Goodrich, ND 58444
Phone
(701) 884-2727
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Schneider
Title
Secretary/Treasurer
Phone
(701) 884-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 046 ND Primary

Addresses

Primary practice location

122 McKinley
Goodrich, ND 58444

Mailing address

141 19TH Ave SE
Goodrich, ND 58444-9373

Other identifiers 3

IdentifierTypeStateIssuer
P00268227OtherNDRAILROAD MEDICARE
24770OtherNDBLUE CROSS BLUE SHIELD
56213MedicaidND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376623124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 19TH AVE SE",
            "city": "GOODRICH",
            "state": "ND",
            "postal_code": "584449373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MCKINLEY",
            "city": "GOODRICH",
            "state": "ND",
            "postal_code": "58444",
            "telephone_number": "701-884-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODRICH AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "701-884-2727"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00268227",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "24770",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56213",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodrich, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.