COMMUNITY AMBULANCE SERVICE INC. NPI 1780715532

NPI Information

NPI: 1780715532
Provider Name: COMMUNITY AMBULANCE SERVICE INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 35D2064953

Address:
56 2ND AVE SE
BEACH, ND
ZIP 58621
Phone: (701) 872-4220
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COMMUNITY AMBULANCE SERVICE INC. is a land transport ambulance in Beach, ND. COMMUNITY AMBULANCE SERVICE INC. NPI is 1780715532. The provider is registered as an organization entity type.

The provider's business location address is:

56 2ND AVE SE
BEACH, ND
ZIP 58621
Phone: (701) 872-4220

The provider's authorized official is Tim Oech .
The authorized official title is Treasurer Board Member and has the following contact phone number (701) 872-3650.

The CLIA number assigned to this NPI record is 35D2064953 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 10/18/2007.

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	004	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	53923	MEDICAID	NORTH DAKOTA
2	N7350	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA
3	2917001	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

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