Valley Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0047 Issued in ND

Legal business name

VALLEY AMBULANCE SERVICE INC

Practice address

1317 Griggs Avenue
Grafton, ND 58237

Phone

(701) 352-3128

Fax

(701) 352-1176

NPI assigned

Dec 13, 2006

Last updated

Sep 14, 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

James Russell Restemayer, NREMT PARAMEDIC

Title

Manager

Phone

(701) 352-3128

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

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1669533394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 GRIGGS AVENUE",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "58237",
            "telephone_number": "701-352-3128",
            "fax_number": "701-352-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 GRIGGS AVENUE",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "58237",
            "telephone_number": "701-352-3128",
            "fax_number": "701-352-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "RESTEMAYER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-352-3128",
        "authorized_official_credential": "NREMT PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "0047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51301",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Grafton, ND
• Providers in Grafton, ND by specialty
• Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.