Casselton Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

023 Issued in ND

Legal business name

CASSELTON AMBULANCE SERVICE, INC

Practice address

101 6TH Ave S
Casselton, ND 58012-3533

Phone

(701) 347-4004

Fax

(701) 347-4004

NPI assigned

Jun 9, 2005

Last updated

Feb 17, 2010By 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

Mr. Kenneth G Habiger

Title

President

Phone

(701) 347-4004

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1629072590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 6TH AVE S",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "580123533",
            "telephone_number": "701-347-4004",
            "fax_number": "701-347-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 6TH AVE S",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "580123533",
            "telephone_number": "701-347-4004",
            "fax_number": "701-347-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSELTON AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "HABIGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-347-4004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050269",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Barnard
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• Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Casselton)
• Davis Chiropractic
• Keith G Davis, DC

• Land Ambulance in Casselton, ND
• Providers in Casselton, 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 Feb 17, 2010; 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.