SARGENT COUNTY AMBULANCE
NPI 1265514756
Ambulance - Land Transport in Forman, ND

Q: What is Sargent County Ambulance Forman Squad's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since October 20, 2006CLIA 35D1011929 · Waiver

355 MAIN ST S, FORMAN, ND 58032(701) 724-6241 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2024, Oct 28, 2022 (2 updates tracked since 2022).

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About Sargent County Ambulance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARGENT COUNTY AMBULANCE (NPI 1265514756) is a healthcare organization registered as a land transport in Forman, North Dakota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Trent Mahler, Coordinator, as its authorized official.

NPPES Registry Identity

NPI1265514756

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameSARGENT COUNTY AMBULANCE FORMAN SQUAD

Location Address355 MAIN ST SForman, ND 58032

Mailing AddressPo Box 316Forman, ND 58032-0316

Phone(701) 724-6241

Organization SubpartNo

Authorized OfficialTrent MahlerCoordinator · (701) 724-6241

Enumeration DateOctober 20, 2006

Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration

NPPES CertifiedNovember 19, 2024

✔ NPI 1265514756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

Also ListedAmbulanceTaxonomy 341600000X · License 040 (ND)

355 MAIN ST S, Forman, ND 58032

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Other Names 2

Doing Business AsSargent County Ambulance

Doing Business AsSargent County Ambulance Forman

Other Identifiers 2

Other7298ND · Blue Cross Blue Shield

Medicaid50033ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D1011929

Sargent County Ambulance/Forman · Forman, ND

Active · expires Jun 21, 2028

CLIA Number35D1011929

Laboratory TypeAmbulance

Certificate Effective DateJune 22, 2026

Certificate Expiration DateJune 21, 2028

Laboratory DirectorMarwood Klein

Laboratory Phone(701) 724-3385

Laboratory LocationSargent County Ambulance/Forman355 Main St S, Forman, ND 58032

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

1,131 services29 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

24 services17 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

16 services15 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI GILJE LSW

Social Worker

355 MAIN ST S, SUITE #7
FORMAN, ND 58032

Sargent County (701) 724-6241

SARGENT COUNTY SOCIAL SERVICES

Case Management

355 MAIN ST S, SUITE #7
FORMAN, ND 58032

Sargent County (701) 724-6241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sargent County Ambulance Forman Squad's NPI number?

The NPI number for Sargent County Ambulance Forman Squad is 1265514756. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Sargent County Ambulance and Sargent County Ambulance Forman.

Where is Sargent County Ambulance Forman Squad located?

Sargent County Ambulance Forman Squad is located at 355 Main St S, Forman, ND 58032. The listed phone number is (701) 724-6241.

What is Sargent County Ambulance Forman Squad's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Sargent County Ambulance Forman Squad hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1011929) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sargent County Ambulance Forman Squad accept?

Health plans from Blue Cross Blue Shield of North Dakota list Sargent County Ambulance Forman Squad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sargent County Ambulance Forman Squad was last updated on November 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.