Active NPI
Ost Ambulance Service
- Ambulance
- Pine Ridge, SD
National Provider Identifier
1154511962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- OST AMBULANCE SERVICE
- Practice address
- Old IHS Hospital
Pine Ridge, SD 57770 - Phone
- (605) 867-1351
- NPI assigned
- Jul 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tyler Yellow Boy Sr.
- Title
- Ost Ambulance Director
- Phone
- (058) 671-3516
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
Old IHS Hospital
Pine Ridge, SD 57770
Mailing address
PO Box 346
Pine Ridge, SD 57770-0346
Phone (605) 867-1351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9017080 | Medicaid | SD |
Other names 1
- Oglala Sioux Tribe Ambulance Service
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1154511962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 346",
"city": "PINE RIDGE",
"state": "SD",
"postal_code": "577700346",
"telephone_number": "605-867-1351",
"fax_number": "605-867-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OLD IHS HOSPITAL",
"city": "PINE RIDGE",
"state": "SD",
"postal_code": "57770",
"telephone_number": "605-867-1351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OST AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-27",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A",
"authorized_official_last_name": "YELLOW BOY",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "OST AMBULANCE DIRECTOR",
"authorized_official_telephone_number": "058-671-3516",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9017080",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oglala Sioux Tribe Ambulance Service",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Oglala Sioux Tribe Ambulance Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pine Ridge, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.