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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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