Organization Active NPI

Lyman County Ambulance District

  • Land Ambulance
  • Presho, SD
National Provider Identifier
1285804195
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0452 Issued in SD
Legal business name
LYMAN COUNTY AMBULANCE DISTRICT
Practice address
221 N Main St
Presho, SD 57568
Phone
(605) 222-2581
Fax
(605) 895-9424
NPI assigned
Mar 6, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Ms. Angela Ann Ehlers
Title
Administrator
Phone
(605) 222-2581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0452 SD Primary

Addresses

Primary practice location

221 N Main St
Presho, SD 57568

Mailing address

PO Box 267
Presho, SD 57568-0267
Phone (605) 222-2581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000614 SD Part B Supplier - Ambulance Service Supplier 7618046970 Practice locations: Presho, SD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1285804195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "PRESHO",
            "state": "SD",
            "postal_code": "575680267",
            "telephone_number": "605-222-2581",
            "fax_number": "605-895-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N MAIN ST",
            "city": "PRESHO",
            "state": "SD",
            "postal_code": "57568",
            "telephone_number": "605-222-2581",
            "fax_number": "605-895-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMAN COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-222-2581",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presho, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.