CITY OF WILLISTON NPI 1174737712

NPI Information

NPI: 1174737712
Provider Name: CITY OF WILLISTON

Doing Business As: WILLISTON AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
317 11TH ST W
WILLISTON, ND
ZIP 58801
Phone: (701) 572-3400
Get Directions

CITY OF WILLISTON is a land transport ambulance in Williston, ND. CITY OF WILLISTON NPI is 1174737712. The provider is registered as an organization entity type.
The provider Is Doing Business As Williston Ambulance Service.

The provider's business location address is:

317 11TH ST W
WILLISTON, ND
ZIP 58801
Phone: (701) 572-3400
Fax: (701) 572-6602

The provider's authorized official is Hercules Cummings .
The authorized official title is Finance Director and has the following contact phone number (701) 572-3400.

The CLIA number assigned to this NPI record is 35D1012353 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 3/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	131	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1451862	MEDICAID	NORTH DAKOTA
2	7008	OTHER		OTHER INSURANCE
3	8375	OTHER	NORTH DAKOTA	BCBS ND
4	440700	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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