Custer Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0212 Issued in SD

Legal business name

CUSTER AMBULANCE SERVICE INC

Practice address

30 S 3Rd St
Custer, SD 57730

Phone

(605) 673-3334

Fax

(605) 673-4818

NPI assigned

Oct 13, 2006

Last updated

Nov 27, 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

Ms. Hapsie D Nutley

Title

President

Phone

(605) 673-3334

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1275623134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "address_2": "30 S 3RD ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "57730",
            "telephone_number": "605-673-3334",
            "fax_number": "605-673-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S 3RD ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "57730",
            "telephone_number": "605-673-3334",
            "fax_number": "605-673-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "NUTLEY",
        "authorized_official_first_name": "HAPSIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-673-3334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SD",
            "license": "0212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010250",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine A. Chase, MSW, LCSW-PIP
• Compassionate Care Hospice of the Hills, LLC
• Conard Chiroparctic, PC
• Sandra Lee Conard, D.C.
• Creative Kids Therapy
• Custer Cares
• Custer Chiropractic, P.C.
• Custer Community Pharmacy LLC
• Custer School District
• Custer School District 16-1

• Ambulance in Custer, SD
• Providers in Custer, 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 27, 2007; 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.