Active NPI
McHenry Ambulance
- Land Ambulance
- McHenry, ND
National Provider Identifier
1609968122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MCHENRY AMBULANCE
- Practice address
- 178 Johnston St
McHenry, ND 58464 - Phone
- (701) 785-2513
- NPI assigned
- Sep 29, 2006
- Last updated
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerome D Short
- Title
- Manager
- Phone
- (701) 650-0238
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 79 | ND | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
178 Johnston St
McHenry, ND 58464
Mailing address
PO Box 471
McHenry, ND 58464-0471
Phone (701) 650-0238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070621000327 | ND | Part B Supplier - Ambulance Service Supplier | 8921107665 | Practice locations: McHenry, ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1609968122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471",
"city": "MCHENRY",
"state": "ND",
"postal_code": "584640471",
"telephone_number": "701-650-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 JOHNSTON ST",
"city": "MCHENRY",
"state": "ND",
"postal_code": "58464",
"telephone_number": "701-785-2513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCHENRY AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "JEROME",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "701-650-0238"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ND",
"license": "79",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McHenry, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.