Conde Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0571 Issued in SD

Legal business name

CONDE FIRE DEPARTMENT

Doing business as

Conde Ambulance Service

Practice address

125 Broadway St SW
Conde, SD 57434

Phone

(877) 882-9911

Fax

(877) 882-9922

NPI assigned

Dec 13, 2006

Last updated

Mar 2, 2024By 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

Mrs. Michele Gayle Smith

Title

President

Phone

(877) 882-9911

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CONDE AMBULANCE SERVICE 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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709337600000",
    "number": "1114088275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "CONDE",
            "state": "SD",
            "postal_code": "574340122",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BROADWAY ST SW",
            "city": "CONDE",
            "state": "SD",
            "postal_code": "57434",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDE FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-882-9911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002120",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK, BCBS",
            "identifier": "0099205",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONDE AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Birth Group
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• Eudine Stevens, CPM

• Land Ambulance in Conde, SD
• Providers in Conde, 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 Mar 2, 2024; 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.