Active NPI
Kimball Ambulance District
- Land Ambulance
- Kimball, SD
National Provider Identifier
1265591598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 13201
- 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, 2012
- 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
- Janet M Reuer
- Title
- Billing Rep
- Phone
- (605) 778-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9003110 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120329000498 | SD | Part B Supplier - Ambulance Service Supplier | 8527228451 | Practice locations: Kimball, SD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D1049609 | Kimball Ambulance District | Certificate of waiver | Jan 10, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.