City of Gettysburg

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0541 Issued in SD

Legal business name

CITY OF GETTYSBURG

Practice address

109 E Commercial Ave
Gettysburg, SD 57442-1101

Phone

(605) 765-2264

NPI assigned

Sep 6, 2007

Last updated

May 13, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY OF GETTYSBURGAs reported in NPPES

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

Authorized official

Name

Mrs. Sharleen M Eliason

Title

Finance Officer

Phone

(605) 765-2264

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dba Gettysburg Ambulance service Other name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

City of Gettysburg

Locations

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1093900730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E COMMERCIAL AVE",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421101",
            "telephone_number": "605-765-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E COMMERCIAL AVE",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421101",
            "telephone_number": "605-765-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GETTYSBURG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF GETTYSBURG",
        "enumeration_date": "2007-09-06",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "ELIASON",
        "authorized_official_first_name": "SHARLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "605-765-2264",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SD",
            "license": "0541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001140",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Gettysburg Ambulance service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Diana Latinow DDS, MSD, PC
• Kirsten Ducheneaux, P.T.

• Ambulance in Gettysburg, SD
• Providers in Gettysburg, SD by specialty
• Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.