Washburn Volunteer Ambulance Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

128 Issued in ND

Legal business name

WASHBURN VOLUNTEER AMBULANCE INC.

Practice address

917 Main Avenue
Washburn, ND 58577-4221

Phone

(701) 462-8431

Fax

(701) 462-8279

NPI assigned

Nov 8, 2006

Last updated

Mar 2, 2015By 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

Mary Devlin

Title

Board Member

Phone

(701) 462-8431

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1417027459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585540974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MAIN AVENUE",
            "city": "WASHBURN",
            "state": "ND",
            "postal_code": "585774221",
            "telephone_number": "701-462-8431",
            "fax_number": "701-462-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHBURN VOLUNTEER AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "701-462-8431"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "WAS10967",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "WAS7212",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52019",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynette M Sondrol, CPHT
• St. Alexius Medical Center (Physical Therapy Washburn)
• St. Alexius Medical Center
• John Arthur Thompson, D.C.
• Washburn Chiropractic, PC
• Kerrie Lyn Washburn
• Kaitlyn Rae Wirtz, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.