JEFFERSON VOLUNTEER AMBULANCE; NPI #1992734818

Contact Information

JEFFERSON VOLUNTEER AMBULANCE

509 RAILROAD ST
JEFFERSON, SD 57038

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 JEFFERSON VOLUNTEER AMBULANCE

NPI # 1992734818

LBN Legal business name JEFFERSON VOLUNTEER AMBULANCE

Authorized official MICHELE SMITH - (BILLING MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/02/2006

Last updated 10/03/2012 - About 14 years ago

Identifiers

SD	License #	623
SD	Medicaid	9001090
SD	Other	1992734818	WELLMARK, BCBS

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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