| Date: | 18-NOV-2018 |
| Time: | 23:00 LT |
| Type: | Cessna 441 Conquest II |
| Owner/operator: | Metro Area Ambulance Services/Bismarck Air Medical |
| Registration: | N441CX |
| C/n / msn: | 441-0305 |
| Fatalities: | Fatalities: 3 / Occupants: 3 |
| Other fatalities: | 0 |
| Aircraft damage: | Written off (damaged beyond repair) |
| Location: | Morton County NW of Mandan, ND - United States of America |
| Phase: | En route |
| Nature: | Ambulance |
| Departure airport: | KBIS |
| Sloulin Field Int'l (KISN) |
The aircraft impacted the terrain in Morton County northwest of Mandan, North Dakota. The three occupants, the pilot, a paramedic and a nurse, were fatally injured.
A Civil Air Patrol official says an initial investigation indicates plane might have broken up in midair at about 14,000 feet (4,300 meters) and added, "The debris on the ground also indicated that."
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