Drayton Volunteer Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DRAYTON VOLUNTEER AMBULANCE ASSOCIATION

Practice address

105 Grant Ave
Drayton, ND 58225-0238

Phone

(701) 454-6505

Fax

(701) 454-3817

NPI assigned

Jan 23, 2007

Last updated

Apr 1, 2013By 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

Andrew D DunckleeNPI 1932202264

Title

Coordinator

Phone

(701) 454-6119

Specialties & licenses 1

Addresses

Other identifiers 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew D Duncklee, DDS

  • Dentist
  • Drayton, ND
  • NPI 1932202264
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1457405698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "DRAYTON",
            "state": "ND",
            "postal_code": "582250238",
            "telephone_number": "701-454-6505",
            "fax_number": "701-454-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GRANT AVE",
            "city": "DRAYTON",
            "state": "ND",
            "postal_code": "582250238",
            "telephone_number": "701-454-6505",
            "fax_number": "701-454-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYTON VOLUNTEER AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "DUNCKLEE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "701-454-6119"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7302",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51616",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Altru Health System (Altru Clinic - Drayton)
• Catherine Jean Hengel Borud, D.C.
• Catherine J H Borud DC (Drayton Chiropratic)
• Drayton Drug Inc
• Drayton Eye Clinic
• Andrew D Duncklee, DDS
• Marlene Kay Gunderson
• Jacqueline K Hoselton
• Corey Merrill
• Ye Olde Medicine Shoppe Inc (Drayton Drug)

• Land Ambulance in Drayton, ND
• Providers in Drayton, 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 Apr 1, 2013; 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.