MEDINA AMBULANCE SERVICE (NPI# 1851439939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851439939 |
| Entity Type | Organization |
| Organization Name | MEDINA AMBULANCE SERVICE |
| Practice Address |
107 College St Sw Medina ND 58467 |
| Mailing Address |
Po Box 756 Medina ND 58467-0756 |
| Practice Telephone | 7014863164 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | MR. BENJAMIN P JUELFS (EX. DIRECTOR) |
| Authorized Official Telephone | 7013204230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
083 | ND | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS BLUE SHIELD | 1873001 | 01 |
| ND | 50877 | 05 | |
| ND | RAILROAD MEDICARE | 590013414 | 01 |
| Street Address |
107 COLLEGE ST SW |
| City | MEDINA |
| State | ND |
| Zip Code | 58467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578907267 | Innovis Health LLC | Family Medicine | 600 Water St E, Medina, ND 58467 | 2013-04-24 |
| 1467406181 | Dakota Clinic, Ltd. | Family Medicine | 600 Water Street E, Medina, ND 58467 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1912507005 | Gina Hunter | Home Health Aide | 249 Granger Rd Unit 88, Medina, OH 44256-7363 | 2020-10-28 |
| 1013517408 | Ruth Marie Hlasko | Private Vehicle | 651 Sturbridge Dr Unit 2, Medina, OH 44256-4381 | 2020-10-27 |
| 1275132813 | Angela Marotta | Home Health Aide | 4267 Erhart Rd, Medina, OH 44256-8976 | 2020-10-24 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1770181661 | Sonya Carol Goodrich | Social Worker | 320 Spring Creek Hwy, Medina, TN 38355-9779 | 2020-10-13 |
| 1164029377 | Haley Irene Sampsel | Nurse Practitioner | 3929 Barrington Dr, Medina, OH 44256-5950 | 2020-10-01 |
| 1154938694 | Medina Creative Accessibility | Day Training, Developmentally Disabled Services | 224 N Court St, Medina, OH 44256-1980 | 2020-09-29 |
| 1134736176 | Kathi P Patrick | Adult Companion | 5619 Wolff Rd, Medina, OH 44256-9485 | 2020-09-24 |
| 1326654476 | Molly Lynn Davis | Nurse Practitioner | 875 Smokerise Dr, Medina, OH 44256-2775 | 2020-09-23 |
| Find all providers in MEDINA | ||||
| 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 |
|---|---|---|---|---|
| 1427270917 | Lafayette Township | Ambulance | 6776 Wedgewood Rd, Medina, OH 44256-8822 | 2007-05-03 |
| 1962478800 | Village of Medina | Ambulance | 600 Main St, Medina, NY 14103-1577 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952706053 | Precision Paramedic Services Inc | Ambulance | 105 4th Ave Ne, Mandaree, ND 58757 | 2014-10-31 |
| 1730486416 | Plaza Ambulance Service | Ambulance | 308 4th Ave., Plaza, ND 58771-0057 | 2011-02-16 |
| 1356665962 | Fessenden Ambulance District | Ambulance | 602 Railway St N, Fessenden, ND 58438 | 2010-03-25 |
| 1487985008 | Edmore Ambulance | Ambulance | 303 South Madison Street, Edmore, ND 58330-0006 | 2010-01-21 |
| 1548597685 | County of Billings | Ambulance | 604 East River Road S, Medora, ND 58645 | 2009-11-11 |
| 1528201530 | Aneta Ambulance | Ambulance | 405 Moon Ave, Aneta, ND 58212-4207 | 2009-04-07 |
| 1427211770 | Page Ambulance Service | Ambulance | 114 Morton Ave, Page, ND 58064-0106 | 2008-07-08 |
| 1487814687 | Mcclusky Ambulance Service Inc | Ambulance | 113 Ave B East, Mcclusky, ND 58463-0000 | 2008-06-11 |
| 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 |
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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.