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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 Specialty Code Provider Type

Air Transport

3416A0800X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for BISMARCK AIR MEDICAL, LLC

NPI # 1255337333
LBN Legal business name BISMARCK AIR MEDICAL, LLC
Authorized official JONATHAN SIMMERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2005
Last updated 06/12/2025 - About 12 months ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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