SPEARFISH EMERGENCY AMBULANCE SERVICE NPI 1336130434

NPI Information

NPI: 1336130434
Provider Name: SPEARFISH EMERGENCY AMBULANCE SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 43D1080025

Address:
715 E COLORADO BLVD
SPEARFISH, SD
ZIP 57783
Phone: (605) 642-8810
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SPEARFISH EMERGENCY AMBULANCE SERVICE is a land transport ambulance in Spearfish, SD. SPEARFISH EMERGENCY AMBULANCE SERVICE NPI is 1336130434. The provider is registered as an organization entity type.

The provider's business location address is:

715 E COLORADO BLVD
SPEARFISH, SD
ZIP 57783-702
Phone: (605) 642-8810
Fax: (605) 717-0193

The provider's authorized official is Brian S Hambek .
The authorized official title is Executive Director and has the following contact phone number (605) 642-8810.

The CLIA number assigned to this NPI record is 43D1080025 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2005 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343800000X	Secured Medical Transport (VAN)		0092	SOUTH DAKOTA	No
2	3416L0300X	Ambulance	Land Transport	0092	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0099162	OTHER	SOUTH DAKOTA	WELLMARK BCBS OF SD
2	S99162	MEDICARE PIN	SOUTH DAKOTA
3	590002028	MEDICARE PIN	SOUTH DAKOTA
4	9010990	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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