National Provider Identifier Database

BISMARCK AIR MEDICAL LLC
Air Transport


Contact Information

BISMARCK AIR MEDICAL, LLC
2940 N 19TH ST
BISMARCK, ND58503-5393
Phone: 701-255-0812
Fax: 701-255-7247
Website:
Specialty Taxonomy Code
* Air Transport 3416A0800X

* Indicates primary specialty

NPI Profile & details for BISMARCK AIR MEDICAL, LLC

NPI Number 1255337333
Legal business name
LBN
BISMARCK AIR MEDICAL, LLC
Authorized official JONATHAN SIMMERS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/23/2005
Last updated 06/12/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • ND License #: 604
  • MN Medicaid: A779450900
  • MT Medicaid: 0441847
  • ND Medicaid: 54450
  • SD Medicaid: 9020250
  • WA Medicaid: 9058983
  • WY Medicaid: 124477900
  • ND Other: BIS23241 BLUE CROSS ND

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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