FREDERICK AREA AMBULANCE; NPI #1558390468

Contact Information

FREDERICK AREA AMBULANCE

406 3RD AVE
FREDERICK, SD 57441

Phone: 877-882-9911
Fax: 877-882-9922
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 FREDERICK AREA AMBULANCE

NPI # 1558390468

LBN Legal business name FREDERICK AREA AMBULANCE

Authorized official MICHELE SMITH - (ACCOUNT REPRESENTATIVE)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/02/2006

Last updated 06/25/2009 - About 17 years ago

Identifiers

SD	License #	033
SD	Medicaid	9011490

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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