Hunter Ambulance Service
Organization Active NPI Land Ambulance · Hunter, ND
NPI 1578623930 · NPPES record last updated Apr 2, 2018
Key facts
- NPI
- 1578623930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 59 (ND)
- Legal business name
- HUNTER AMBULANCE SERVICE
- Practice address
- 401 Main St
Hunter, ND 58048-4003 - Phone
- (701) 874-2161
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Randy Moen
- Title
- Treasurer
- Phone
- (701) 874-2161
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100722000967 | ND | Part B Supplier - Ambulance Service Supplier | 0143352377 | Practice locations: Hunter, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 59 | ND | Yes |
Addresses
Primary practice location
401 Main St
Hunter, ND 58048-4003
Mailing address
PO Box 974
Mandan, ND 58554-0974
Phone (701) 250-6361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51468 | Medicaid | ND | |
| 7275 | Other | ND | BLUE CROSS BLUE SHIELD |
Other providers in Hunter, ND
All providers in Hunter, ND · Land Ambulance in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.