TIMBER LAKE AMBULANCE SERVICE INC; NPI #1043247679

Contact Information

TIMBER LAKE AMBULANCE SERVICE INC

900 MAIN ST
TIMBER LAKE, SD 57656

Phone: 402-572-4019
Fax: 402-965-8594
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for TIMBER LAKE AMBULANCE SERVICE INC

NPI Number 1043247679

LBN Legal business name TIMBER LAKE AMBULANCE SERVICE INC

Authorized official CHRIS HERMES - (TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/27/2006

Last updated 04/29/2009 - About 17 years ago

Identifiers

SD	License #	0243
SD	Medicaid	9017020
	Other	590014108	RR MEDICARE PROVIDER
SD	Other	0099213	BLUE CROSS PROVIDER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TIMBER LAKE AMBULANCE SERVICE INC

Contact Information

Specialty

Land Transport

NPI Profile & details for TIMBER LAKE AMBULANCE SERVICE INC

Reviews for TIMBER LAKE AMBULANCE SERVICE INC