WEST TRAILL AMBULANCE SERVICE, INC (NPI# 1689697062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689697062 |
| Entity Type | Organization |
| Organization Name | WEST TRAILL AMBULANCE SERVICE, INC |
| Practice Address |
43 7th Ave Se Mayville ND 58257 |
| Mailing Address |
Po Box 545 Mayville ND 58257-0545 |
| Practice Telephone | 7013712827 |
| Practice Fax Number | 8889648168 |
| Mailing Telephone | 7013712827 |
| Mailing Fax Number | 8889648168 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | STEFAN HOFER (PRESIDENT) |
| Authorized Official Telephone | 7013712827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
77 | ND | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 51793 | 05 | |
| ND | BLUE CROSS BLUE SHIELD | 007301 | 01 |
| Street Address |
43 7TH AVE SE |
| City | MAYVILLE |
| State | ND |
| Zip Code | 58257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992186530 | Jeremy Johnson | Student in an Organized Health Care Education/Training Program | 1141 154th Ave Ne, Mayville, ND 58257 | 2015-06-09 |
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 1376635755 | Scott Edward Omdalen | Chiropractor | 45 1st Ave Se, Mayville, ND 58257 | 2006-09-29 |
| 1164522306 | Goose River Dental Assoc., PC | Dentist | 37 1/2 Main St E, Mayville, ND 58257 | 2006-09-25 |
| 1487757423 | Pride Medical Supplies | Durable Medical Equipment & Medical Supplies | 303 Miller Rd, #2019, Scottsdale, AZ 58257 | 2006-09-06 |
| 1831578541 | Travis Waswick | Family Medicine | 600 1st St Se, Mayville, ND 58257 | 2015-05-27 |
| 1346365079 | Omdalen Chiropractic Clinic PC | Chiropractor | 45 1st Ave Se, Mayville, ND 58257 | 2007-03-20 |
| 1568599033 | Union Hospital Society of Mayville Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2007-02-28 |
| 1457488975 | Union Hospital Society of Mayville Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2007-02-28 |
| 1003996786 | Susan R Willyard | Dietitian, Registered | 42 6th Ave Se, Union Hospital, Mayville, ND 58257 | 2006-10-16 |
| Find all providers in zip 58257 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
| 1649222621 | City of Mayville | Ambulance | 102 E Mill Pl, Mayville, WI 53050-1652 | 2006-05-17 |
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| 1528269149 | Upham Fire Protection | Ambulance | 117 C Ave S, Upham, ND 58789 | 2007-05-30 |
| 1982814497 | City of Cooperstown | Ambulance | 611 9th St. Ne, Cooperstown, ND 58425-0712 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
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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.