Tioga Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

118 Issued in ND

Legal business name

TIOGA FIRE DEPARTMENT

Doing business as

Tioga Fire Department/Ambulance Service

Practice address

11 N. Welo St
Tioga, ND 58852-0451

Phone

(701) 664-5757

Fax

(701) 664-3424

NPI assigned

Jul 28, 2005

Last updated

Oct 27, 2022By 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

Randall K. Pederson

Title

Treasurer

Phone

(701) 664-5757

Specialties & licenses 2

Addresses

Other names 1

• Tioga Fire Department/Ambulance Service Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: tiogafire@nccray.com

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1801896162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "TIOGA",
            "state": "ND",
            "postal_code": "588520451",
            "telephone_number": "701-664-3305",
            "fax_number": "701-664-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N. WELO ST",
            "city": "TIOGA",
            "state": "ND",
            "postal_code": "588520451",
            "telephone_number": "701-664-5757",
            "fax_number": "701-664-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 E Front St",
            "address_purpose": "LOCATION",
            "city": "Tioga",
            "state": "ND",
            "postal_code": "588527311",
            "country_code": "US",
            "telephone_number": "701-664-3305",
            "fax_number": "701-664-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIOGA FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "701-664-5757"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "118",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiogafire@nccray.com",
            "affiliation": "N",
            "address_1": "11 N. Welo St",
            "city": "Tioga",
            "state": "ND",
            "country_code": "US",
            "postal_code": "588520451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tioga Fire Department/Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tioga Fire Department/Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Tioga, ND
• Providers in Tioga, 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 Oct 27, 2022; 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.