Active NPI
Community Ambulance Service of New Rockford
- Ambulance
- New Rockford, ND
National Provider Identifier
1770824492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 95
- Legal business name
- COMMUNITY AMBULANCE SERVICE OF NEW ROCKFORD
- Practice address
- 818 1St Ave N
New Rockford, ND 58356-1511 - Phone
- (701) 302-0499
- NPI assigned
- Mar 5, 2013
- 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
- Sandy Oconnor
- Title
- Squad Leader
- Phone
- (701) 302-0499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 95 | ND | Primary |
Addresses
Primary practice location
818 1St Ave N
New Rockford, ND 58356-1511
Mailing address
PO Box 246
New Rockford, ND 58356-0246
Other names 1
- COMMUNITY AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130412000236 | ND | Part B Supplier - Ambulance Service Supplier | 2163668344 | Practice locations: New Rockford, ND |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D1011958 | Community Ambulance Service of New Rockford | Certificate of waiver | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
818 1st Ave N
New Rockford, ND 58356
Phone (701) 302-0499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380240000000",
"number": "1770824492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 246",
"city": "NEW ROCKFORD",
"state": "ND",
"postal_code": "583560246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 1ST AVE N",
"city": "NEW ROCKFORD",
"state": "ND",
"postal_code": "583561511",
"telephone_number": "701-302-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY AMBULANCE SERVICE OF NEW ROCKFORD",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-05",
"last_updated": "2013-09-27",
"status": "A",
"authorized_official_last_name": "OCONNOR",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "SQUAD LEADER",
"authorized_official_telephone_number": "701-302-0499"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ND",
"license": "95",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COMMUNITY AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Rockford, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.