Active NPI
Metro Area Ambulance Service, Inc
Doing business as Metro Area Ambulance, Metro-Area Ambulance
- Land Ambulance
- Bismarck, ND
National Provider Identifier
1922004092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A023827900 | Medicaid | MN | |
| 440479 | Medicaid | MT | |
| MET7430 | Other | ND | BLUE CROSS NORTH DAKOTA |
| 9010320 | Medicaid | SD | |
| 805369000 | Medicaid | ID | |
| 0706749 | Medicaid | OH | |
| 54918 | Medicaid | ND | |
| 81330700 | Medicaid | WI | |
| 9010703 | Medicaid | WA |
Other names 1
- Metro Area Ambulance, Metro-Area Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040428000267 | ND | Part B Supplier - Ambulance Service Supplier | 0547257933 | Practice locations: Bismarck, ND; Mandan, ND |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D0688927 | Metro Area Ambulance Service | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember 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.