Rolette Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

112 Issued in ND

Legal business name

ROLETTE AMBULANCE SERVICE INC

Practice address

304 Main St
Rolette, ND 58366

Phone

(701) 246-3531

NPI assigned

Nov 7, 2006

Last updated

Dec 28, 2009By 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

Tamera Tuenge

Title

Manager

Phone

(701) 246-3531

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1932278892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "ROLETTE",
            "state": "ND",
            "postal_code": "583660565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "ROLETTE",
            "state": "ND",
            "postal_code": "58366",
            "telephone_number": "701-246-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLETTE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "TUENGE",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-246-3531"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51964",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7339",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007463",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazlyn Kate Bates, MSN, PMHNP-BC
• Christine Genevieve Hedstrom
• Angela Lafasov
• Northland Health Centers
• Presentation Care Center (Smpltc)
• Rolette Community Care Center, Inc. (Rolette Community Care Center)
• Dean Sebelius
• White Drug Co of Jamestown Inc (White Drug #58)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.