Organization Active NPI

Kare Lines Ambulance, LTD

  • Land Ambulance
  • Sisseton, SD
National Provider Identifier
1497728364
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0552 Issued in SD
Legal business name
KARE LINES AMBULANCE, LTD
Practice address
315 5TH Ave E
Sisseton, SD 57262-2020
Phone
(605) 698-3153
NPI assigned
Feb 9, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Gustav Robert Lutjens, PARAMEDIC/OWNER
Title
Owner of Ambulance Service
Phone
(605) 698-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0552 SD Primary

Addresses

Primary practice location

315 5TH Ave E
Sisseton, SD 57262-2020

Mailing address

315 5TH Ave E
PO Box 241
Sisseton, SD 57262-2020
Phone (605) 698-3153

Other identifiers 2

IdentifierTypeStateIssuer
0090654OtherSDSD BLUE CROSS NUMBER
9010460MedicaidSD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1497728364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 5TH AVE E",
            "address_2": "PO BOX 241",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622020",
            "telephone_number": "605-698-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE E",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622020",
            "telephone_number": "605-698-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARE LINES AMBULANCE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "LUTJENS",
        "authorized_official_first_name": "GUSTAV",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER OF AMBULANCE SERVICE",
        "authorized_official_telephone_number": "605-698-3300",
        "authorized_official_credential": "PARAMEDIC/OWNER"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BLUE CROSS NUMBER",
            "identifier": "0090654",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010460",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.