PLAZA AMBULANCE SERVICE (NPI# 1730486416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730486416 |
| Entity Type | Organization |
| Organization Name | PLAZA AMBULANCE SERVICE |
| Practice Address |
308 4th Ave. Plaza ND 58771-0057 |
| Practice Telephone | 7014973766 |
| Practice Fax Number | 7014973779 |
| Mailing Telephone | 7014973766 |
| Mailing Fax Number | 7014973779 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | MR. GARY LAVERNE JOHNSON (SQUAD LEADER) |
| Authorized Official Telephone | 7014973766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
104 | ND | Transportation Services |
| Street Address |
308 4TH AVE. |
| City | PLAZA |
| State | ND |
| Zip Code | 58771-0057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982794939 | City of Plaza | Ambulance | 409 4th Ave Covell St, Plaza, ND 58771-0057 | 2006-10-13 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982794939 | City of Plaza | Ambulance | 409 4th Ave Covell St, Plaza, ND 58771-0057 | 2006-10-13 |
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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.