Beresford Community Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

621 Issued in SD

Legal business name

BERESFORD COMMUNITY AMBULANCE SERVICE

Practice address

301 North 10TH St
Beresford, SD 57004

Phone

(605) 763-2100

NPI assigned

Apr 11, 2007

Last updated

Apr 9, 2014By 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

Robert C James

Title

President of the Board

Phone

(605) 253-2275

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1467675967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N KNOLL DR APT 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106434",
            "telephone_number": "605-310-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTH 10TH ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "57004",
            "telephone_number": "605-763-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERESFORD COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT OF THE BOARD",
        "authorized_official_telephone_number": "605-253-2275"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000300",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Allen Arends, PA-C
• Ryan Arlt, O.D.
• Joseph Clare Bak, DC
• Bear Chiropractic, PC
• Rebecca Lynn Bear, D.C.
• Beresford Family Chiropractic
• Beresford School District
• Bethesda of Beresford
• Bethesda of Beresford
• Cynthia Dawn Bohlmann, COTA/L

• Land Ambulance in Beresford, SD
• Providers in Beresford, 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 Apr 9, 2014; 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.