Provider Demographics
NPI:1851439939
Name:MEDINA AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:MEDINA AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLECHT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:701-320-7501
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:ND
Mailing Address - Zip Code:58467-0756
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:107 COLLEGE ST SW
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:ND
Practice Address - Zip Code:58467
Practice Address - Country:US
Practice Address - Phone:701-486-3164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND0833416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND50877Medicaid
ND590013414OtherRAILROAD MEDICARE
ND1873001OtherBLUE CROSS BLUE SHIELD
ND50877Medicaid