WYNDMERE BARNEY RURAL AMBULANCE DIST (NPI# 1104913904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104913904 |
| Entity Type | Organization |
| Organization Name | WYNDMERE BARNEY RURAL AMBULANCE DIST |
| Practice Address |
403 Ash Ave Wyndmere ND 58081 |
| Mailing Address |
403 Ash Ave. Po Box 184 Wyndmere ND 58081-0184 |
| Practice Telephone | 7014392780 |
| Practice Fax Number | 7014392781 |
| Mailing Telephone | 7014392780 |
| Mailing Fax Number | 7014392781 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | MS. RONDA J LUEBKE (OFFICE MANAGER) |
| Authorized Official Telephone | 7014392780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
136 | ND | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 55269 | 05 |
| Street Address |
403 ASH AVE |
| City | WYNDMERE |
| State | ND |
| Zip Code | 58081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484870 | Taryn C Jensen | Technician | 15250 78th St Se, Wyndmere, ND 58081-9413 | 2020-10-12 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.