City of Sturgis

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

492 Issued in SD

Legal business name

CITY OF STURGIS

Practice address

1901 Ballpark Rd
Sturgis, SD 57785-3128

Phone

(605) 347-5801

Fax

(605) 347-2558

NPI assigned

Nov 29, 2005

Last updated

Dec 18, 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

Shawn Fischer

Title

Director

Phone

(605) 347-5801

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Tax ID family

City of Sturgis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• City of Sturgis

  dba Sturgis Ambulance

  • Community Health Worker
  • Sturgis, SD
  • NPI 1881340503
  NPD tax ID

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1447233085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BALLPARK RD",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577853128",
            "telephone_number": "605-347-5801",
            "fax_number": "605-347-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BALLPARK RD",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577853128",
            "telephone_number": "605-347-5801",
            "fax_number": "605-347-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF STURGIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-347-5801"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "492",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9017122",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Louise Brown, OTR/L
• Kimberly Bulava, PSYD
• Gage Bush, ACT
• Ryder Carlson, BS
• Tara L Carlson, PA-C
• City of Sturgis (Sturgis Ambulance)
• Lori M'Lynn Collins
• County Drug
• County Drug Inc (County Drug)
• Jessica Crouch

• Land Ambulance in Sturgis, SD
• Providers in Sturgis, 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 Dec 18, 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.

Verify at the official NPI Registry.