Faulk County
Organization Active NPI Land Ambulance · Faulkton, SD
NPI 1346327459 · NPPES record last updated Sep 17, 2010
Key facts
- NPI
- 1346327459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0281 (SD)
- Legal business name
- FAULK COUNTY
- Practice address
- 110 9TH Ave S
Faulkton, SD 57438-0309 - Phone
- (605) 598-6232
- Fax
- (605) 598-6680
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Phylis R Melius
- Title
- Billing Clerk
- Phone
- (605) 598-6232
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100917000873 | SD | Part B Supplier - Ambulance Service Supplier | 4880719558 | Practice locations: Faulkton, SD |
National Provider Directory
Locations
200 8th Ave N
Faulkton, SD 57438
Phone (605) 598-6239
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0281 | SD | Yes |
Addresses
Primary practice location
110 9TH Ave S
Faulkton, SD 57438-0309
Mailing address
110 9TH Ave S
PO Box 309
Faulkton, SD 57438-0309
Phone (605) 598-6232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099104 | Other | SD | BLUE CROSS BLUE SHIELD |
| 9017090 | Medicaid | SD |
Other names
- Faulk County Ambulance
Other providers in Faulkton, SD
- Jennifer Lynn Bauer
- Tonner Bowar
- Carr Chiropractic Clinics PC
- Donna M Crook
- Chelsea Deiter
- Faulkton Area Medical Center
- Faulkton Area Medical Center
- Faulkton Area Medical Center
- Faulkton Area Medical Center
- Faulkton Area Medical Center
All providers in Faulkton, SD · Land Ambulance in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.