Provider Demographics
NPI:1588724553
Name:FIRST MEDIC AMBULANCE SERVICE OF RANSOM COUNTY INC
Entity type:Organization
Organization Name:FIRST MEDIC AMBULANCE SERVICE OF RANSOM COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BJORN
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-233-5658
Mailing Address - Street 1:PO BOX 679
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56561-0679
Mailing Address - Country:US
Mailing Address - Phone:218-233-5658
Mailing Address - Fax:218-233-7630
Practice Address - Street 1:1100 OAK ST
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:ND
Practice Address - Zip Code:58054
Practice Address - Country:US
Practice Address - Phone:701-683-4721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND733416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND57111Medicaid
ND7763OtherBLUE CROSS BLUE SHIELD
NDN7763Medicare PIN