Provider Demographics
NPI:1194926659
Name:BARNES COUNTY AMBULANCE INC
Entity type:Organization
Organization Name:BARNES COUNTY AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMT-PARAMEDIC
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-845-5986
Mailing Address - Street 1:914 11TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072-3621
Mailing Address - Country:US
Mailing Address - Phone:701-845-1745
Mailing Address - Fax:
Practice Address - Street 1:914 11TH AVE SW
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072
Practice Address - Country:US
Practice Address - Phone:701-845-1745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2018-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND107840146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDP00080154OtherRR MEDICARE PIN
ND54142Medicaid
NDBAR22169OtherBCBS PIN
ND70547Medicare ID - Type Unspecified
NDBAR22169OtherBCBS PIN