NPIMap

Organization Active NPI

Leola Ambulance

  • Land Ambulance
  • Leola, SD
National Provider Identifier
1326079971
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
472 Issued in SD
Legal business name
LEOLA AMBULANCE
Practice address
1208 Main St
Leola, SD 57456
Phone
(877) 882-9911
Fax
(877) 882-9922
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mrs. Michele Smith
Title
Account Representative
Phone
(877) 882-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 472 SD Primary

Addresses

Primary practice location

1208 Main St
Leola, SD 57456

Mailing address

1208 Main St
Leola, SD 57456
Phone (877) 882-9911

Other identifiers 1

IdentifierTypeStateIssuer
9011300MedicaidSD

Other names 1

  • LEOLA AMBULANCE ASSOC. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1326079971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 MAIN ST",
            "city": "LEOLA",
            "state": "SD",
            "postal_code": "57456",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 MAIN ST",
            "city": "LEOLA",
            "state": "SD",
            "postal_code": "57456",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOLA AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "877-882-9911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9011300",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEOLA AMBULANCE ASSOC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leola, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.