Healthcare Provider Details

I. General information

NPI: 1578403119
Provider Name (Legal Business Name): BOTTINEAU AMBULANCE SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 BENNETT ST
BOTTINEAU ND
58318-1004
US

IV. Provider business mailing address

PO BOX 93
BOTTINEAU ND
58318-0093
US

V. Phone/Fax

Practice location:
  • Phone: 701-228-6901
  • Fax: 701-228-6911
Mailing address:
  • Phone: 701-228-6901
  • Fax: 701-228-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TIMOTHY SWANSON
Title or Position: DISTRICT MANAGER
Credential:
Phone: 701-389-8956