Garrison Ambulance District – Ambulance

Key facts

NPI: 1851491641
Entity type: Organization (NPI type 2)
Primary specialty: Ambulance 341600000X
License: 043 (ND)
Legal business name: GARRISON AMBULANCE DISTRICT
Practice address: 202 5TH St SE
Garrison, ND 58540-7212
Phone: (701) 463-2172
Fax: (701) 463-2190
NPI assigned: Sep 22, 2006
Organization subpart: No

Authorized official

Name: Amanda Gail Melby
Title: Co-Manager
Phone: (701) 463-2178

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ND

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100723000179	ND	Part B Supplier - Ambulance Service Supplier	9234261488	Practice locations: Garrison, ND

National Provider Directory

Locations

143 5th St SE
Garrison, ND 58540
Phone (701) 463-2178

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulance	341600000X	043	ND	Yes

Addresses

Primary practice location

202 5TH St SE
Garrison, ND 58540-7212

Mailing address

PO Box 517
Garrison, ND 58540-0517
Phone (701) 463-2178

Other identifiers

Identifier	Type	State	Issuer
590095371	Other	ND	RAILROAD MEDICARE
7690	Other		BLUE CROSS BLUE SHIELD
50710	Medicaid	ND

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2023.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1851491641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "585400517",
            "telephone_number": "701-463-2178",
            "fax_number": "701-463-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 5TH ST SE",
            "city": "GARRISON",
            "state": "ND",
            "postal_code": "585407212",
            "telephone_number": "701-463-2172",
            "fax_number": "701-463-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "MELBY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "701-463-2178"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590095371",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7690",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50710",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, ND

All providers in Garrison, ND · Ambulance in North Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. 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.

Verify at the official NPI Registry.