Mercer County Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MERCER COUNTY AMBULANCE SERVICE INC

Doing business as

Mercer County Ambulance

Practice address

801 4TH St NE
Hazen, ND 58545-4653

Phone

(701) 748-7283

Fax

(701) 748-5559

NPI assigned

Jul 15, 2006

Last updated

Oct 9, 2018By 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

Marcia Marie Steffen

Title

Manager

Phone

(701) 748-7241

Specialties & licenses 1

Addresses

Other names 1

• Mercer County Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1386660843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 4TH ST NE",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "585454653",
            "telephone_number": "701-748-7283",
            "fax_number": "701-748-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 4TH ST NE",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "585454653",
            "telephone_number": "701-748-7283",
            "fax_number": "701-748-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-748-7241"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Hazen, ND
• Providers in Hazen, ND by specialty
• Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.