Spearfish Emergency Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0092 Issued in SD

Legal business name

SPEARFISH EMERGENCY AMBULANCE SERVICE

Practice address

715 E Colorado Blvd
Spearfish, SD 57783-2702

Phone

(605) 642-8810

Fax

(605) 717-0193

NPI assigned

Oct 30, 2005

Last updated

Apr 12, 2017By 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. Brian S Hambek, NREMT-P

Title

Executive Director

Phone

(605) 642-8810

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1130630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1336130434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E COLORADO BLVD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832702",
            "telephone_number": "605-642-8810",
            "fax_number": "605-717-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E COLORADO BLVD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832702",
            "telephone_number": "605-642-8810",
            "fax_number": "605-717-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARFISH EMERGENCY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-30",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "HAMBEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "605-642-8810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0092",
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "SD",
            "license": "0092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF SD",
            "identifier": "0099162",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010990",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna J Smoot, RDN
• Michelle Soberalski, MSW, LCSW, QMHP
• Lauri Leann Sorenson, RN
• Cathy G Sowers, CNP
• Spearfish Collaborative Care LLC (Serenity Corner)
• Spearfish Eye Care Center
• Spearfish Family Chiropractic, PLLC
• Spearfish Health Center, PC
• Spearfish Healthcare, LLC (David M. Dorsett Healthcare Center)
• Spearfish Nursing and Rehab Center LLC

• Land Ambulance in Spearfish, SD
• Providers in Spearfish, 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 Apr 12, 2017; 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.