Active NPI
Community Volunteer EMS of Lamoure
- Ambulance
- Lamoure, ND
National Provider Identifier
1629159074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 153
- Legal business name
- COMMUNITY VOLUNTEER EMS OF LAMOURE
- Practice address
- 31 Center Ave East
Lamoure, ND 58458 - Phone
- (701) 883-5937
- NPI assigned
- Oct 18, 2006
- Last updated
- Aug 22, 2020
- 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
- Kathy Siedschlag
- Title
- President
- Phone
- (701) 883-5937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 153 | ND | Primary |
Addresses
Primary practice location
31 Center Ave East
Lamoure, ND 58458
Mailing address
PO Box 234
Lamoure, ND 58458-0234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061116000602 | ND | Part B Supplier - Ambulance Service Supplier | 9234137746 | Practice locations: Lamoure, ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629159074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 234",
"city": "LAMOURE",
"state": "ND",
"postal_code": "584580234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 CENTER AVE EAST",
"city": "LAMOURE",
"state": "ND",
"postal_code": "58458",
"telephone_number": "701-883-5937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY VOLUNTEER EMS OF LAMOURE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIEDSCHLAG",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-883-5937"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ND",
"license": "153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lamoure, ND
- Kelsey Anderson
- Patricia Bernice Arndt, SLP
- Jenna Marie Bain, PT
- Benedictine Living Communities, Inc. (St Rose Care Center)
- Carl Robert Black, DC
- County of Lamoure Office of Auditor (LaMoure County Health Department)
- Mikayla Dye, PT
- Family Health Care Center
- Katelyn Lois Greenmyer, MS OTR/L
- Independence Speech Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.