Lakota Ambulance Service, Inc
Organization Active NPI Basic Emergency Medical Technician · Lakota, ND
NPI 1720175060 · NPPES record last updated Nov 6, 2008
Key facts
- NPI
- 1720175060
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- 065 (ND)
- Legal business name
- LAKOTA AMBULANCE SERVICE, INC
- Practice address
- 107 2ND St E
Lakota, ND 58344-0338 - Phone
- (701) 247-2312
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Mary Kay Schuh, EMT I
- Title
- Secretary/Treasurer
- Phone
- (701) 247-2312
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081031000127 | ND | Part B Supplier - Ambulance Service Supplier | 9234298530 | Practice locations: Lakota, ND |
National Provider Directory
Locations
102 Main St N
Lakota, ND 58344
Phone (701) 247-2312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician |
146N00000X | 065 | ND | Yes |
Addresses
Primary practice location
107 2ND St E
Lakota, ND 58344-0338
Mailing address
PO Box 338
Lakota, ND 58344-0338
Phone (701) 247-2312
Other providers in Lakota, ND
- Cooperstown Medical Center
- Naomi Ferguson
- Patricia Kjorsvik
- Lois Ann Legacie
- Janie Luehring
- Nelson County Health System
- Nelson County Health System
- Nelson County Social Services
All providers in Lakota, ND · Basic Emergency Medical Technician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.