Minnewaukan Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

087 Issued in ND

Legal business name

MINNEWAUKAN AMBULANCE SERVICE

Practice address

160 Main St E.
Minnewaukan, ND 58351

Phone

(701) 473-2531

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By 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

Allan Nord

Title

Secretary Training Office

Phone

(701) 473-5419

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649323114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "MINNEWAUKAN",
            "state": "ND",
            "postal_code": "583510043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIN ST E.",
            "city": "MINNEWAUKAN",
            "state": "ND",
            "postal_code": "58351",
            "telephone_number": "701-473-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEWAUKAN AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "SECRETARY TRAINING OFFICE",
        "authorized_official_telephone_number": "701-473-5419"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7098",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56811",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Dawn Baker
• Michael Bowen
• Alyssa Littlewind
• Tiffany Sten
• Cheryl Stutz, CNA

• Land Ambulance in Minnewaukan, ND
• Providers in Minnewaukan, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.