City of Elkton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

062 Issued in SD

Legal business name

CITY OF ELKTON

Doing business as

ambulance

Practice address

109 Elk Street S
Elkton, SD 57026

Phone

(605) 542-5621

Fax

(605) 542-8141

NPI assigned

Nov 23, 2007

Last updated

Jan 21, 2009By 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

Mr. Scott Stuefen

Title

Administrator

Phone

(605) 542-5621

Specialties & licenses 1

Addresses

Other names 1

• ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1295916856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ELK STREET S",
            "address_2": "PO BOX 308",
            "city": "ELKTON",
            "state": "SD",
            "postal_code": "57026",
            "telephone_number": "605-542-5621",
            "fax_number": "605-542-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ELK STREET S",
            "city": "ELKTON",
            "state": "SD",
            "postal_code": "57026",
            "telephone_number": "605-542-5621",
            "fax_number": "605-542-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ELKTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "STUEFEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-542-5621",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan (Avera Elkton Health Center)
• Avera McKennan (Avera Medical Group Elkton)
• City of Brookings (Brookings Health System Elkton Medical Clinic)
• Cozy Corner Inc.
• Elkton School District 5-3
• Joy Landgraf
• Northeast Educational Services Coop

• Land Ambulance in Elkton, SD
• Providers in Elkton, SD by specialty
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.