SARGENT COUNTY AMBULANCE FORMAN (NPI# 1265514756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265514756 |
| Entity Type | Organization |
| Organization Name | SARGENT COUNTY AMBULANCE FORMAN |
| Practice Address |
355 Main St S Forman ND 58032 |
| Mailing Address |
Po Box 316 Forman ND 58032-0316 |
| Practice Telephone | 7017246241 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | MARWOOD KLEIN (COORDINATOR) |
| Authorized Official Telephone | 7017246241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 040 | ND | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 50033 | 05 | |
| ND | BLUE CROSS BLUE SHIELD | 7298 | 01 |
| Street Address |
355 MAIN ST S |
| City | FORMAN |
| State | ND |
| Zip Code | 58032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750799235 | Kari Gilje | Social Worker | 355 Main St S, Suite #7, Forman, ND 58032-4149 | 2014-07-28 |
| 1134536360 | Sargent County Social Services | Case Management | 355 Main St S, Suite #7, Forman, ND 58032-4149 | 2014-07-21 |
| 1518371327 | Darci Weber | Social Worker | 355 Main St S, Forman, ND 58032-4149 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255469631 | County of Sargent | Public Health or Welfare | 316 Main Street, Forman, ND 58032 | 2007-02-28 |
| 1073520003 | Sanford Clinic North | Clinic/Center | 336 Main Street, Forman, ND 58032-0184 | 2006-08-02 |
| 1013926005 | Southeast Therapy Services Inc | Clinic/Center | 336 Main Street, Forman, ND 58032-0184 | 2006-08-07 |
| 1497384184 | Rosanne Clare Lohman | Nurse Practitioner | 336 Main St S, Forman, ND 58032-4001 | 2020-04-04 |
| 1427046093 | Nathan Wilbur Schlecht | Pharmacist | 330 Main St S, Forman, ND 58032-4001 | 2005-10-07 |
| 1619453362 | Kelsy Martinson | Pharmacist | 330 Main St S, Forman, ND 58032-4001 | 2018-07-16 |
| 1417945080 | Forman Drug Inc | Pharmacy | 330 Main St S, Forman, ND 58032-4001 | 2005-10-07 |
| 1861470429 | Four Seasons Healthcare Center Inc | Nursing Facility/Intermediate Care Facility | 483 4th St Sw, Forman, ND 58032-4210 | 2006-01-04 |
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| 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). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139582 | Westhope Ambulance Services | Ambulance | 110 Railway Ave W, Westhope, ND 58793 | 2018-06-29 |
| 1770824492 | Community Ambulance Service of New Rockford | Ambulance | 818 1st Ave N, New Rockford, ND 58356-1511 | 2013-03-05 |
| 1538369780 | Hankinson Ambulance District | Ambulance | 102 Main Ave N, Hankinson Fire & Ambulance Meeting Room, Hankinson, ND 58041 | 2007-07-24 |
| 1053515783 | Spirit Lake Tribe | Ambulance | 1403 Brunswick Ave, Fort Totten, ND 58335-0449 | 2007-06-14 |
| 1295896934 | Lidgerwood Rural Ambulance Service | Ambulance | 146 Wiley Ave S, Lidgerwood, ND 58053 | 2006-12-13 |
| 1669533394 | Valley Ambulance Service Inc | Ambulance | 1317 Griggs Avenue, Grafton, ND 58237 | 2006-12-13 |
| 1245390129 | Regent Ambulance Service | Ambulance | 308 West 2nd Street, Regent, ND 57650 | 2006-12-11 |
| 1891854212 | Kindred Area Ambulance Service Inc. | Ambulance | 100 1st Ave N, Kindred, ND 58051-0295 | 2006-12-08 |
| 1881766525 | Glen Ullin Ambulance Service | Ambulance | 206 2nd St South, Glen Ullin, ND 58631 | 2006-11-15 |
| 1790856706 | New Salem Ambulance Service | Ambulance | 400 Main Ave, New Salem, ND 58563 | 2006-11-13 |
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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.