Rolette Ambulance Service Inc
Organization Active NPI Ambulance · Rolette, ND
NPI 1932278892 · NPPES record last updated Dec 28, 2009
Key facts
- NPI
- 1932278892
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 112 (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
- Organization subpart
- No
Authorized official
- Name
- Tamera Tuenge
- Title
- Manager
- Phone
- (701) 246-3531
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D1092813 | Rolette Community Ambulance Service | Certificate of waiver | Dec 3, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100315000157 | ND | Part B Supplier - Ambulance Service Supplier | 7517092786 | Practice locations: Rolette, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 112 | ND | Yes |
Addresses
Primary practice location
304 Main St
Rolette, ND 58366
Mailing address
PO Box 565
Rolette, ND 58366-0565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51964 | Medicaid | ND | |
| 7339 | Other | ND | BLUE CROSS BLUE SHIELD |
| 590007463 | Other | ND | RAILROAD MEDICARE |
Other providers in Rolette, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.