Active NPI
FM Ambulance Service, Inc
- Land Ambulance
- Fargo, ND
National Provider Identifier
1770528606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 035
- Legal business name
- FM AMBULANCE SERVICE, INC
- Practice address
- 2215 18TH St S
Fargo, ND 58103-5105 - Phone
- (701) 364-1700
- Fax
- (701) 364-1705
- NPI assigned
- Jun 17, 2006
- 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
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 035 | ND | Primary |
| Land Ambulance | 3416L0300X | 0166 | MN | |
| Land Ambulance | 3416L0300X | 56 | ND |
Addresses
Primary practice location
2215 18TH St S
Fargo, ND 58103-5105
Mailing address
2215 18TH St S
Fargo, ND 58103-5105
Phone (701) 234-1262
Other practice location 1
12 3rd St SE
Hillsboro, ND 58045-4840
Phone (701) 636-3219
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50012 | Medicaid | ND | |
| 10525 | Other | HEALTHPARTNERS | |
| 141853000 | Other | US DEPT LABOR WORK COMP | |
| 61180FM | Other | MNBC | |
| 81-20887 | Other | MEDICA | |
| 7009 | Other | NDBC | |
| 991369600 | Medicaid | MN |
Other names 3
- Sanford Ambulance
- Sanford Ambulance Fargo
- Sanford Ambulance Hillsboro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051109000068 | ND | Part B Supplier - Ambulance Service Supplier | 5395763213 | Practice locations: Fargo, ND; Hillsboro, ND |
| O20060117000057 | MN | Part B Supplier - Ambulance Service Supplier | 5395763213 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bagley, MN; Thief River Falls, MN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1770528606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 18TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581035105",
"telephone_number": "701-234-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 18TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581035105",
"telephone_number": "701-364-1700",
"fax_number": "701-364-1705"
}
],
"practiceLocations": [
{
"address_1": "12 3rd St SE",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "ND",
"postal_code": "580454840",
"country_code": "US",
"telephone_number": "701-636-3219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FM AMBULANCE SERVICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
"authorized_official_telephone_number": "605-328-8380"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ND",
"license": "035",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MN",
"license": "0166",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ND",
"license": "56",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50012",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "10525",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT LABOR WORK COMP",
"identifier": "141853000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBC",
"identifier": "61180FM",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "81-20887",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBC",
"identifier": "7009",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "991369600",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanford Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sanford Ambulance Fargo",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sanford Ambulance Hillsboro",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.