Active NPI
Kare Lines Ambulance, LTD
- Land Ambulance
- Sisseton, SD
National Provider Identifier
1497728364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0552
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090654 | Other | SD | SD BLUE CROSS NUMBER |
| 9010460 | Medicaid | SD |
National Provider Directory
National Provider DirectoryNPI 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.