PHILIP AMBULANCE SERVICE NPI 1861527210

NPI Information

NPI: 1861527210
Provider Name: PHILIP AMBULANCE SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 43D1050731

Address:
100 S LARIMER AVE
PHILIP, SD
ZIP 57567
Phone: (605) 859-2424
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PHILIP AMBULANCE SERVICE is a land transport ambulance in Philip, SD. PHILIP AMBULANCE SERVICE NPI is 1861527210. The provider is registered as an organization entity type.

The provider's business location address is:

100 S LARIMER AVE
PHILIP, SD
ZIP 57567
Phone: (605) 859-2424

The provider's authorized official is Esther Oldenberg .
The authorized official title is Paramedic and has the following contact phone number (605) 859-2424.

The CLIA number assigned to this NPI record is 43D1050731 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.

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	3416L0300X	Ambulance	Land Transport	311	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	005507	OTHER	SOUTH DAKOTA	INSURANCE
2	9010982	MEDICAID	SOUTH DAKOTA
3	9173771	OTHER	SOUTH DAKOTA	DAKOTA CARE

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

NPI Synchronization or Removal

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