KILLDEER AREA AMBULANCE SERVICE NPI 1922121276

NPI Information

NPI: 1922121276
Provider Name: KILLDEER AREA AMBULANCE SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 35D2054500

Address:
151 CENTRAL AVENUE NORTH
KILLDEER, ND
ZIP 58640
Phone: (701) 764-6300
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KILLDEER AREA AMBULANCE SERVICE is a land transport ambulance in Killdeer, ND. KILLDEER AREA AMBULANCE SERVICE NPI is 1922121276. The provider is registered as an organization entity type.

The provider's business location address is:

151 CENTRAL AVENUE NORTH
KILLDEER, ND
ZIP 58640-033
Phone: (701) 764-6300

The provider's authorized official is Cori Kilber .
The authorized official title is Treasurer and has the following contact phone number (701) 764-6300.

The CLIA number assigned to this NPI record is 35D2054500 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 2/5/2008.

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	62	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	57297	MEDICAID	NORTH DAKOTA
2	N70505	MEDICARE PIN	NORTH DAKOTA
3	70505	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD

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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