{"npi":"1255337333","type":"NPI-2","status":"active","name":{"display":"Bismarck Air Medical, LLC","other":[],"organization_name":"BISMARCK AIR MEDICAL, LLC","authorised_official":"Jonathan Simmers"},"specialty":{"primary_taxonomy":"3416A0800X","primary_taxonomy_description":"Air Ambulance","slug":"air-ambulance","schema_org_specialty":null,"all":[{"code":"3416A0800X","description":"Air Ambulance","primary":true,"state":"ND","license":"604"}]},"addresses":[{"purpose":"LOCATION","street_1":"2940 N 19TH ST","city":"BISMARCK","state":"ND","postal_code":"585035393","country_code":"US","phone":"7012550812","fax":"7012557247"},{"purpose":"MAILING","street_1":"2301 UNIVERSITY DR BLDG 53","city":"BISMARCK","state":"ND","postal_code":"585047595","country_code":"US","phone":"7012254754"}],"license":{"state":"ND","number":"604"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"9058983","state":"WA","issuer":null},{"type_code":"05","label":"Medicaid","value":"0441847","state":"MT","issuer":null},{"type_code":"05","label":"Medicaid","value":"A779450900","state":"MN","issuer":null},{"type_code":"05","label":"Medicaid","value":"124477900","state":"WY","issuer":null},{"type_code":"05","label":"Medicaid","value":"54450","state":"ND","issuer":null},{"type_code":"05","label":"Medicaid","value":"9020250","state":"SD","issuer":null},{"type_code":"01","label":"Other","value":"BIS23241","state":"ND","issuer":"BLUE CROSS ND"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091124000696","type_code":"12-59","type_desc":"PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER","state":"ND","pac_id":"0244379667"}]},"enumeration_date":"2005-06-23","last_updated":"2025-06-12","_meta":{"source":"NPPES","snapshot_date":"2025-06-12","doc_url":"https://findmynpi.com/api"}}