Healthcare Provider Details

I. General information

NPI: 1922004092
Provider Name (Legal Business Name): METRO AREA AMBULANCE SERVICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 N 19TH ST
BISMARCK ND
58503-5393
US

IV. Provider business mailing address

PO BOX 595
MANDAN ND
58554-0595
US

V. Phone/Fax

Practice location:
  • Phone: 701-255-0812
  • Fax: 701-255-7247
Mailing address:
  • Phone: 701-255-0812
  • Fax: 701-255-7247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number012
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: TODD PORTER
Title or Position: DIRECTOR
Credential:
Phone: 701-255-0812