Organization Active NPI

Metro Area Ambulance Service, Inc

Doing business as Metro Area Ambulance, Metro-Area Ambulance

  • Land Ambulance
  • Bismarck, ND
National Provider Identifier
1922004092
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
METRO AREA AMBULANCE SERVICE, INC
Doing business as
Metro Area Ambulance, Metro-Area Ambulance
Practice address
2940 N 19TH St
Bismarck, ND 58503-5393
Phone
(701) 255-0812
Fax
(701) 255-7247
NPI assigned
Jun 23, 2005
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Porter
Title
Director
Phone
(701) 255-0812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 012 ND
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

2940 N 19TH St
Bismarck, ND 58503-5393

Mailing address

PO Box 595
Mandan, ND 58554-0595
Phone (701) 255-0812

Other identifiers 9

IdentifierTypeStateIssuer
A023827900MedicaidMN
440479MedicaidMT
MET7430OtherNDBLUE CROSS NORTH DAKOTA
9010320MedicaidSD
805369000MedicaidID
0706749MedicaidOH
54918MedicaidND
81330700MedicaidWI
9010703MedicaidWA

Other names 1

  • Metro Area Ambulance, Metro-Area Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000267 ND Part B Supplier - Ambulance Service Supplier 0547257933 Practice locations: Bismarck, ND; Mandan, ND

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0688927Metro Area Ambulance Service2940 N 19TH, Bismarck, ND 58503Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1139 Memorial Hwy
Bismarck, ND 58504
Phone (701) 255-0812

2940 N 19th St
Bismarck, ND 58503
Phone (701) 255-0812

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1922004092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585540595",
            "telephone_number": "701-255-0812",
            "fax_number": "701-255-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N 19TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035393",
            "telephone_number": "701-255-0812",
            "fax_number": "701-255-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO AREA AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-255-0812"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "012",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A023827900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440479",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NORTH DAKOTA",
            "identifier": "MET7430",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010320",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805369000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0706749",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54918",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81330700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010703",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Area Ambulance, Metro-Area Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro Area Ambulance, Metro-Area Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.