Healthcare Provider Details

I. General information

NPI: 1629934161
Provider Name (Legal Business Name): CENTRAL PLAINS MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 33RD ST S APT 304
FARGO ND
58103-7838
US

IV. Provider business mailing address

3160 33RD ST S APT 304
FARGO ND
58103-7838
US

V. Phone/Fax

Practice location:
  • Phone: 971-295-7597
  • Fax:
Mailing address:
  • Phone: 971-295-7597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: SAMIR I AHMED
Title or Position: OWNER
Credential:
Phone: 971-295-7597