Kadoka Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0391 Issued in SD

Legal business name

KADOKA AMBULANCE SERVICE

Practice address

Main Street
Kadoka, SD 57543-0116

Phone

(605) 837-2320

NPI assigned

Aug 1, 2006

Last updated

Nov 6, 2007By 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

Eileen Stolley

Title

Billing Clerk

Phone

(605) 837-2320

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1144236944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "KADOKA",
            "state": "SD",
            "postal_code": "575430116",
            "telephone_number": "605-837-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN STREET",
            "city": "KADOKA",
            "state": "SD",
            "postal_code": "575430116",
            "telephone_number": "605-837-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADOKA AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "STOLLEY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "605-837-2320"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SD",
            "license": "0391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010070",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Bonenberger, MA
• Kadoka Area School District
• Kadoka Nursing Home Ass.
• Peoples Market
• Philip Health Services, Inc
• Teresa L Shuck, LPC; LPC-MH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.