Provider Demographics
NPI:1710047162
Name:RINGDAHL, INC.
Entity Type:Organization
Organization Name:RINGDAHL, INC.
Other - Org Name:JAMESTOWN AREA AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BJORN
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-251-2273
Mailing Address - Street 1:PO BOX 679
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56561-0679
Mailing Address - Country:US
Mailing Address - Phone:218-233-5658
Mailing Address - Fax:218-233-7630
Practice Address - Street 1:1002 3RD AVE SE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-5507
Practice Address - Country:US
Practice Address - Phone:701-251-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND54684Medicaid
ND23883OtherBLUE CROSS BLUE SHIELD
NDN711250Medicare PIN