Organization Active NPI

Community Ambulance Service of New Rockford

  • Ambulance
  • New Rockford, ND
National Provider Identifier
1770824492
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
95 Issued in ND
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

Updated by the provider on Sep 27, 2013

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130412000236 ND Part B Supplier - Ambulance Service Supplier 2163668344 Practice locations: New Rockford, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D1011958Community Ambulance Service of New Rockford818 1St Ave N, New Rockford, ND 58356Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.