West Traill Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

77 Issued in ND

Legal business name

WEST TRAILL AMBULANCE SERVICE, INC

Practice address

43 7TH Ave SE
Mayville, ND 58257

Phone

(701) 371-2827

Fax

(888) 964-8168

NPI assigned

Jul 26, 2006

Last updated

Jun 21, 2018By 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

Stefan Hofer

Title

President

Phone

(701) 371-2827

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1689697062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582570545",
            "telephone_number": "701-371-2827",
            "fax_number": "888-964-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 7TH AVE SE",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "58257",
            "telephone_number": "701-371-2827",
            "fax_number": "888-964-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TRAILL AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HOFER",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-371-2827"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007301",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51793",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Union Hospital Soceity of Mayville ND (Union Hospital)
• Union Hospital Society of Mayvile ND (Union Hospital)
• Union Hospital Society of Mayville ND (Union Hospital)
• Union Hospital Society of Mayville ND (Union Hospital)
• Jeanne A Unterseher, NP
• Susan R Willyard, DIETITIAN
• Matthew James Winkels, MD

• Land Ambulance in Mayville, ND
• Providers in Mayville, 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 Jun 21, 2018; 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.

Verify at the official NPI Registry.