NPIMap

Organization Active NPI

Bennett County Hospital and Nursing Home

Doing business as Bennett County Ambulance Service

  • Land Ambulance
  • Martin, SD
National Provider Identifier
1386891349
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BENNETT COUNTY HOSPITAL AND NURSING HOME
Doing business as
Bennett County Ambulance Service
Practice address
102 Major Allen St
Martin, SD 57551-0070
Phone
(605) 685-6622
Fax
(605) 685-1166
NPI assigned
Aug 21, 2008
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BENNETT COUNTY HOSPITAL & NURSING HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Michael Christensen
Title
Ceo
Phone
(605) 685-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

102 Major Allen St
Martin, SD 57551-0070

Mailing address

PO Box 70
Martin, SD 57551-0070
Phone (605) 685-6622

Other names 1

  • Bennett County Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050404000344 SD Part B Supplier - Ambulance Service Supplier 9234194960 Practice locations: Martin, SD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bennett County Hosp Nurs H3 organizations share this tax ID, including this one
Part of
Bennett County Hosp Nurs H

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bennett County Rural Health ClinicMartin, SD, CCN 433442 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 15, 2016
Feb 15, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1386891349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575510070",
            "telephone_number": "605-685-6622",
            "fax_number": "605-685-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAJOR ALLEN ST",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575510070",
            "telephone_number": "605-685-6622",
            "fax_number": "605-685-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT COUNTY HOSPITAL AND NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENNETT COUNTY HOSPITAL & NURSING HOME",
        "enumeration_date": "2008-08-21",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-685-6622"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bennett County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martin, SD

Sources for this page

Verify at the official NPI Registry.