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1578403119 NPI number — BOTTINEAU AMBULANCE SERVICE DISTRICT

NPI Number: 1578403119
Health Care Provider/Practitioner: BOTTINEAU AMBULANCE SERVICE DISTRICT

Information about “1578403119” NPI (BOTTINEAU AMBULANCE SERVICE DISTRICT) exists in 1578403119 in HTML format HTML  |  1578403119 in plain Text format TXT  |  1578403119 in PDF (Portable Document Format) PDF  |  1578403119 in an XML format XML  formats.

NPI Number : 1578403119 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578403119",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BOTTINEAU AMBULANCE SERVICE DISTRICT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 93",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOTTINEAU",
    "MailingAddressStateName": "ND",
    "MailingAddressPostalCode": "58318-0093",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "701-228-6901",
    "MailingAddressFaxNumber": "701-228-6911",
    "FirstLinePracticeLocationAddress": "323 BENNETT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOTTINEAU",
    "PracticeLocationAddressStateName": "ND",
    "PracticeLocationAddressPostalCode": "58318-1004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "701-228-6901",
    "PracticeLocationAddressFaxNumber": "701-228-6911",
    "EnumerationDate": "04/01/2026",
    "LastUpdateDate": "04/01/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SWANSON",
    "AuthorizedOfficialFirstName": "TIMOTHY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DISTRICT MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "701-389-8956",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3416L0300X",
          "TaxonomyName": "Land Ambulance",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "341600000X",
          "TaxonomyName": "Ambulance",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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