City of Vermillion

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0191 Issued in SD

Legal business name

CITY OF VERMILLION

Doing business as

Vermillion/Clay County EMS

Practice address

820 N Dakota Street
Vermillion, SD 57069

Phone

(605) 677-7053

Fax

(605) 677-7054

NPI assigned

Mar 7, 2007

Last updated

Feb 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lee Huber

Title

EMS Director

Phone

(605) 677-7053

Specialties & licenses 2

Addresses

Other names 1

• Vermillion/Clay County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1073643029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CENTER STREET",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "57069",
            "telephone_number": "605-677-7053",
            "fax_number": "605-677-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N DAKOTA STREET",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "57069",
            "telephone_number": "605-677-7053",
            "fax_number": "605-677-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF VERMILLION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "605-677-7053"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SD",
            "license": "0191",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermillion/Clay County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Jean Caraway, PH.D.
• Dakotah Carda, AU.D.
• Joseph Allen Carroll, ATC, LAT, HGP-1
• Sophia Chun Chao, DPT
• Michelle A Chaussee, PA-C
• Clay Union Electric Corp.
• Tammy Dee Clodfelter, ED.S, NCSP
• Carly Cooper
• Kaleb Crownover, PHARMD
• Mark C Daniels, PH.D.

• Land Ambulance in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.