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MICHIGAN AREA AMBULANCE SERVICE INC NPI 1962614461


NPI Information

NPI: 1962614461
Provider Name: MICHIGAN AREA AMBULANCE SERVICE, INC
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 35D2062604

Address:
117 BROADWAY
MICHIGAN, ND
ZIP 58259
Phone: (701) 259-2299
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MICHIGAN AREA AMBULANCE SERVICE, INC is an ambulance in Michigan, ND. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). MICHIGAN AREA AMBULANCE SERVICE, INC NPI is 1962614461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

117 BROADWAY
MICHIGAN, ND
ZIP 58259-017
Phone: (701) 259-2299

The provider's authorized official is Jason M Flom .
The authorized official title is Manager/director and has the following contact phone number (701) 259-2299.

The CLIA number assigned to this NPI record is 35D2062604 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 12/19/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1146N00000XEmergency Medical Technician, Basic085NORTH DAKOTANo
2341600000XAmbulance85NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1052971MEDICAIDNORTH 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.