SPEARFISH EMERGENCY AMBULANCE SERVICE; NPI #1336130434

Contact Information

SPEARFISH EMERGENCY AMBULANCE SERVICE

715 E COLORADO BLVD
SPEARFISH, SD 57783-2702

Phone: 605-642-8810
Fax: 605-717-0193
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Secured Medical Transport (VAN)	343800000X

Indicates primary specialty

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NPI Profile & details for SPEARFISH EMERGENCY AMBULANCE SERVICE

NPI # 1336130434

LBN Legal business name SPEARFISH EMERGENCY AMBULANCE SERVICE

Authorized official BRIAN HAMBEK - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/30/2005

Last updated 04/12/2017 - About 9 years ago

Identifiers

SD	License #	0092
SD	Medicaid	9010990
SD	Other	0099162	WELLMARK BCBS OF SD

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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