DIVIDE COUNTY AMBULANCE DISTRICT - NPI 1902012404

Q: What is the provider's specialty?

The provider's specialty is Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

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About Divide County Ambulance District NPPES

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

DIVIDE COUNTY AMBULANCE DISTRICT (NPI 1902012404) is a healthcare organization registered as a land transport in Crosby, North Dakota and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 2, 2027, maintains a secondary practice location in Crosby, and lists Timothy D Swanson, Ems Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1902012404

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameDIVIDE COUNTY AMBULANCE DISTRICT

Location Address702 1ST ST SWCrosby, ND 58730-3329

Mailing Address107 West Central Ave, Po Box 31Crosby, ND 58730-0031 · (701) 965-6321 · Fax (701) 965-4444

Phone(701) 713-6038

Organization SubpartNo

Authorized OfficialTimothy D SwansonEms Operations Manager · (701) 713-6038

Enumeration DateMay 14, 2007

Last NPPES UpdateOctober 5, 2020

NPPES CertifiedOctober 5, 2020

✔ NPI 1902012404 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 · 027

702 1ST ST SW, Crosby, ND 58730

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Secondary Practice Location 1

Location 1107 WEST CENTRAL AVECROSBY, ND 58730-0031 · Phone (701) 965-4043 · Fax (701) 965-4444

Other Identifiers 2

Other7105ND · Blue Cross Blue Shield

Medicaid50290ND

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 35D2134514

Divide County Ambulance · Crosby, ND

Active · expires Aug 2, 2027

CLIA Number35D2134514

Laboratory TypeAmbulance

Certificate Effective DateAugust 3, 2025

Certificate Expiration DateAugust 2, 2027

Laboratory DirectorTimothy Swanson

Laboratory Phone(701) 721-5454

Laboratory LocationDivide County Ambulance701 1st St SW, Crosby, ND 58730

CLIA data matches this NPI record on: 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 2024 & 2026 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.

2,313 services32 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.

29 services21 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.

16 services15 patients

Other Providers at the Same Location NPPES 6

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

ST LUKES HOPITAL

General Acute Care Hospital (Critical Access)