Active NPI
Tripp Ambulance District
- Ambulance
- Tripp, SD
National Provider Identifier
1366654345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0374
- Legal business name
- TRIPP AMBULANCE DISTRICT
- Practice address
- 205 S Main St
Tripp, SD 57376-0466 - Phone
- (605) 935-6907
- Fax
- (605) 935-6331
- NPI assigned
- May 4, 2007
- Last updated
- Oct 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Lynn Friederich
- Title
- Finance Manager
- Phone
- (605) 935-6907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0374 | SD | Primary |
Addresses
Primary practice location
205 S Main St
Tripp, SD 57376-0466
Mailing address
PO Box P
Tripp, SD 57376-0466
Phone (605) 935-6907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070507000302 | SD | Part B Supplier - Ambulance Service Supplier | 4082710165 | Practice locations: Tripp, SD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539561600000",
"number": "1366654345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX P",
"city": "TRIPP",
"state": "SD",
"postal_code": "573760466",
"telephone_number": "605-935-6907",
"fax_number": "605-935-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S MAIN ST",
"city": "TRIPP",
"state": "SD",
"postal_code": "573760466",
"telephone_number": "605-935-6907",
"fax_number": "605-935-6331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIPP AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2018-10-15",
"status": "A",
"authorized_official_last_name": "FRIEDERICH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "FINANCE MANAGER",
"authorized_official_telephone_number": "605-935-6907",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "SD",
"license": "0374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tripp, SD
- Amber Seitzinger, OTR/L
- St Benedict Health Center (Avera St Benedict CRHC Tripp)
- St. Benedict Health Center (Avera St. Benedict CRHC, Tripp)
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Tripp)
- The Evangelical Lutheran Good Samaritan Society (Tripp Good Samaritan Center)
- Tripp-Delmont School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.