Organization Active NPI

Isabel-Dewey County Ambulance Service

  • Land Ambulance
  • Isabel, SD
National Provider Identifier
1497071708
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0242 Issued in NE
Legal business name
ISABEL-DEWEY COUNTY AMBULANCE SERVICE
Practice address
124 N. Main St
Isabel, SD 57633
Phone
(402) 572-4019
Fax
(402) 965-8594
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Ronald Stradinger
Title
Chairman
Phone
(402) 572-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0242 NE Primary

Addresses

Primary practice location

124 N. Main St
Isabel, SD 57633

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidNE
PENDINGOtherNEBCBS

Other names 1

  • DEWEY COUNTY AMBULANCE SERVICE-ISABEL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1497071708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N. MAIN ST",
            "city": "ISABEL",
            "state": "SD",
            "postal_code": "57633",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABEL-DEWEY COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "STRADINGER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "0242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEWEY COUNTY AMBULANCE SERVICE-ISABEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Isabel, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.