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ELLENDALE COMMUNITY AMBULANCE SERVICE
NPI 1609926013
Ambulance - Land Transport in Ellendale, ND

Active since January 11, 2007CLIA 35D1013201 · Waiver
55 3RD AVE S, ELLENDALE, ND 58436(701) 349-3364(701) 349-3333 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellendale Community Ambulance Service NPPES

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

ELLENDALE COMMUNITY AMBULANCE SERVICE (NPI 1609926013) is a healthcare organization registered as a land transport in Ellendale, North Dakota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Corey Erwin Gulke, Manager, as its authorized official.

NPPES Registry Identity

NPI1609926013
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF ELLENDALE
Location Address55 3RD AVE SEllendale, ND 58436
Mailing AddressPo Box 267Ellendale, ND 58436-0267 · (701) 349-3364 · Fax (701) 349-3333
Phone(701) 349-3364
Fax(701) 349-3333
Organization SubpartNo
Authorized OfficialCorey Erwin GulkeManager · (701) 349-3364
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 2, 2008
✔ NPI 1609926013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in ND · 33
55 3RD AVE S, Ellendale, ND 58436
Open in Google Maps ↗

Other Names 1

Doing Business AsEllendale Community Ambulance Service

Other Identifiers 6

Medicare PIN590095437
Other2955-001ND · Bc-bs Provider
Medicare PINN7391ND
Other9010790SD · Sd Medicaid Provider
Medicaid52179ND
Other590095437ND · Railroad Medicare Provide

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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 35D1013201

Ellendale Community Ambulance · Ellendale, ND
Active · expires Jun 2, 2027
CLIA Number35D1013201
Laboratory TypeAmbulance
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorLorey E. Gulke
Laboratory Phone(701) 349-3364
Laboratory LocationEllendale Community Ambulance53 3rd Ave E, Ellendale, ND 58436
CLIA data matches this NPI record on: Name Phone
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.
1,343 services28 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.
19 services16 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.
14 services13 patients

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 City Of Ellendale's NPI number?

The NPI number for City Of Ellendale is 1609926013. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as Ellendale Community Ambulance Service.

Where is City Of Ellendale located?

City Of Ellendale is located at 55 3rd Ave S, Ellendale, ND 58436. The listed phone number is (701) 349-3364.

What is City Of Ellendale's specialty?

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

Does City Of Ellendale hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1013201) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does City Of Ellendale accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list City Of Ellendale 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 City Of Ellendale was last updated on July 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.