Kindred Area Ambulance Service Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

63 Issued in ND

Legal business name

KINDRED AREA AMBULANCE SERVICE INC.

Practice address

100 1St Ave N
Kindred, ND 58051-0295

Phone

(701) 428-3131

NPI assigned

Dec 8, 2006

Last updated

Jan 22, 2010By 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

Dale Torgerson

Title

Ambulance Treasurer

Phone

(701) 428-3801

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1891854212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565610364",
            "telephone_number": "218-233-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1ST AVE N",
            "city": "KINDRED",
            "state": "ND",
            "postal_code": "580510295",
            "telephone_number": "701-428-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED AREA AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "TORGERSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "AMBULANCE TREASURER",
        "authorized_official_telephone_number": "701-428-3801"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "63",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58652",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7443",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason David Dubord
• Jill Filler
• Tessa Nicole Hagen, MOT, OTR/L
• Karlee Harwell, LMSW
• Judy Hively
• Rural Cass Special Services

• Ambulance in Kindred, ND
• Providers in Kindred, ND by specialty
• Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare 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.