Organization Active NPI

City Auditor

  • Land Ambulance
  • Arlington, SD
National Provider Identifier
1184810046
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0421 Issued in SD
Legal business name
CITY AUDITOR
Practice address
202 West Elm St
Arlington, SD 57212-0379
Phone
(605) 983-5251
Fax
(605) 983-5358
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Jodie Kay Henry
Title
Fo Assistant
Phone
(605) 983-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0421 SD Primary

Addresses

Primary practice location

202 West Elm St
Arlington, SD 57212-0379

Mailing address

202 West Elm St
PO Drawer 379
Arlington, SD 57212-0379
Phone (605) 983-5251

Other identifiers 1

IdentifierTypeStateIssuer
9000770MedicaidSD

Other names 1

  • Arlington Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100915000685 SD Part B Supplier - Ambulance Service Supplier 1759406614 Practice locations: Arlington, SD

National Provider Directory

National Provider Directory

Locations

202 W Elm St
Arlington, SD 57212
Phone (605) 983-5251

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1184810046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WEST ELM ST",
            "address_2": "PO DRAWER 379",
            "city": "ARLINGTON",
            "state": "SD",
            "postal_code": "572120379",
            "telephone_number": "605-983-5251",
            "fax_number": "604-983-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WEST ELM ST",
            "city": "ARLINGTON",
            "state": "SD",
            "postal_code": "572120379",
            "telephone_number": "605-983-5251",
            "fax_number": "605-983-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "FO ASSISTANT",
        "authorized_official_telephone_number": "605-983-5251"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000770",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.