County of Mellette

Primary specialty

AmbulanceTaxonomy code 341600000X

License

502 Issued in SD

Legal business name

COUNTY OF MELLETTE

Doing business as

Mellette County Ambulance Service

Practice address

415 North Roosevelt Street
White River, SD 57579

Phone

(605) 259-3099

Fax

(605) 259-3194

NPI assigned

Jan 29, 2007

Reactivated

Sep 11, 2007

Last updated

Sep 26, 2018By 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

Karen A. O'Brien

Title

Director

Phone

(605) 259-3371

Specialties & licenses 1

Addresses

Other names 1

• Mellette County Ambulance Service Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1346386117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "city": "WHITE RIVER",
            "state": "SD",
            "postal_code": "57579",
            "telephone_number": "605-259-3099",
            "fax_number": "605-259-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NORTH ROOSEVELT STREET",
            "city": "WHITE RIVER",
            "state": "SD",
            "postal_code": "57579",
            "telephone_number": "605-259-3099",
            "fax_number": "605-259-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MELLETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-09-26",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-259-3371"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SD",
            "license": "502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mellette County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mellette County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Burke Community Pharmacy Inc (White River Community Pharmacy)
• Horizon Health Care, Inc (Mellette County Health Center)
• Mellette County Health Clinic (Horizon Health Care, Inc.)
• Rosebud Healthcare Systems Inc. (White River Health Care Center)

• Ambulance in White River, SD
• Providers in White River, SD by specialty
• Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.