Velva Ambulance Service Inc.
Organization Active NPI Ambulance · Velva, ND
NPI 1831288968 · NPPES record last updated Dec 20, 2009
Key facts
- NPI
- 1831288968
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 126 (ND)
- Legal business name
- VELVA AMBULANCE SERVICE INC.
- Practice address
- 105 1St Street West
Velva, ND 58790-0231 - Phone
- (701) 338-2361
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Rose M Jungers
- Title
- Treasure
- Phone
- (701) 720-2793
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100106000744 | ND | Part B Supplier - Ambulance Service Supplier | 1557402005 | Practice locations: Velva, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 126 | ND | Yes |
Addresses
Primary practice location
105 1St Street West
Velva, ND 58790-0231
Mailing address
105 1St Street West
PO Box 231
Velva, ND 58790-0231
Phone (701) 338-2361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590010238 | Other | ND | RAILROAD MEDICARE |
| 7686 | Other | ND | BLUE CROSS BLUE SHIELD |
| 50158 | Medicaid | ND |
Other providers in Velva, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2009. 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.