WYNDMERE BARNEY RURAL AMBULANCE DIST NPI 1104913904

NPI Information

NPI: 1104913904
Provider Name: WYNDMERE BARNEY RURAL AMBULANCE DIST
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 35D1055880

Address:
403 ASH AVE
WYNDMERE, ND
ZIP 58081
Phone: (701) 439-2780
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WYNDMERE BARNEY RURAL AMBULANCE DIST is a land transport ambulance in Wyndmere, ND. WYNDMERE BARNEY RURAL AMBULANCE DIST NPI is 1104913904. The provider is registered as an organization entity type.

The provider's business location address is:

403 ASH AVE
WYNDMERE, ND
ZIP 58081
Phone: (701) 439-2780
Fax: (701) 439-2781

The provider's authorized official is Ronda J Luebke .
The authorized official title is Office Manager and has the following contact phone number (701) 439-2780.

The CLIA number assigned to this NPI record is 35D1055880 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 5/17/2013.

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	136	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	55269	MEDICAID	NORTH DAKOTA
2	N7084	MEDICARE PIN	NORTH DAKOTA

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: 5/5/2024

NPI Synchronization or Removal

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