Organization
BISMARCK AIR MEDICAL, LLC
Active
Organization
BISMARCK AIR MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SIMMERS (OWNER)
(701) 225-4754
Entity
Organization
Contact information
Practice address
2940 N 19TH ST, BISMARCK, ND 58503-5393
(701) 255-0812
(701) 255-7247
Mailing address
2301 UNIVERSITY DR BLDG 53, BISMARCK, ND 58504-7595
(701) 225-4754
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
604
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441847
—
MT
05
—
124477900
—
WY
05
—
54450
—
ND
05
—
9020250
—
SD
05
—
9058983
—
WA
05
—
A779450900
—
MN
01
—
BIS23241
BLUE CROSS ND
ND
Enumeration date
06/23/2005
Last updated
06/12/2025
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