Organization Active NPI

Kimball Ambulance District

  • Land Ambulance
  • Kimball, SD
National Provider Identifier
1265591598
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
13201 Issued in SD
Legal business name
KIMBALL AMBULANCE DISTRICT
Practice address
120 W 2ND St
Kimball, SD 57355
Phone
(605) 778-6400
NPI assigned
Dec 6, 2006
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Janet M Reuer
Title
Billing Rep
Phone
(605) 778-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 13201 SD Primary

Addresses

Primary practice location

120 W 2ND St
Kimball, SD 57355

Mailing address

PO Box 476
Kimball, SD 57355-0476
Phone (605) 778-6400

Other identifiers 1

IdentifierTypeStateIssuer
9003110MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000498 SD Part B Supplier - Ambulance Service Supplier 8527228451 Practice locations: Kimball, SD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D1049609Kimball Ambulance District120 W 2ND Street, Kimball, SD 57355Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1265591598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "KIMBALL",
            "state": "SD",
            "postal_code": "573550476",
            "telephone_number": "605-778-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND ST",
            "city": "KIMBALL",
            "state": "SD",
            "postal_code": "57355",
            "telephone_number": "605-778-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "REUER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING REP",
        "authorized_official_telephone_number": "605-778-6400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "13201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003110",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimball, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.