BOTTINEAU AMBULANCE SERVICE NPI 1699817270

NPI Information

NPI: 1699817270
Provider Name: BOTTINEAU AMBULANCE SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 35D2125986

Address:
323 BENNETT ST
BOTTINEAU, ND
ZIP 58318
Phone: (701) 228-6904
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BOTTINEAU AMBULANCE SERVICE is a land transport ambulance in Bottineau, ND. BOTTINEAU AMBULANCE SERVICE NPI is 1699817270. The provider is registered as an organization entity type.

The provider's business location address is:

323 BENNETT ST
BOTTINEAU, ND
ZIP 58318
Phone: (701) 228-6904
Fax: (701) 228-6901

The provider's authorized official is Katie Del Tarnburrino Saykally .
The authorized official title is President and has the following contact phone number (701) 228-6901.

The CLIA number assigned to this NPI record is 35D2125986 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 6/2/2016.

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	0014	NORTH DAKOTA	No
2	3416L0300X	Ambulance	Land Transport	14	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	050160	MEDICAID	NORTH DAKOTA
2	N712543	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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