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General NPI Number Information
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NPI Number | 1255337333
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Entity Type | Organization
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Legal Business Name | BISMARCK AIR MEDICAL, LLC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 2940 N 19TH ST
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City | BISMARCK
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State | ND
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Zip | 58503-5393
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Country | US
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Telephone | 701-255-0812
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Fax | 701-255-7247
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Provider Business Mailing Address
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Address Line | 2301 UNIVERSITY DR BLDG 53
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City | BISMARCK
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State | ND
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Zip | 58504-7595
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Country | US
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Telephone | 701-225-4754
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN SIMMERS
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Credential |
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Telephone | 701-225-4754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 604
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License Number State | ND
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