Riverdale Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

110 Issued in ND

Legal business name

RIVERDALE AMBULANCE SERVICE

Practice address

301 Dakota Ave
Riverdale, ND 58565-0594

Phone

(704) 654-7466

NPI assigned

Oct 11, 2006

Last updated

Jan 11, 2013By 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

Ms. Dinah Hinsz

Title

Treasurer

Phone

(701) 654-7466

Specialties & licenses 1

Addresses

Other identifiers 2

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

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1861581779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585540974",
            "telephone_number": "701-255-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DAKOTA AVE",
            "city": "RIVERDALE",
            "state": "ND",
            "postal_code": "585650594",
            "telephone_number": "704-654-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "HINSZ",
        "authorized_official_first_name": "DINAH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "701-654-7466",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "RIV70208",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53302",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.