West McPherson EMS, Inc
Organization Active NPI Land Ambulance · Eureka, SD
NPI 1508203084 · NPPES record last updated May 24, 2013
Key facts
- NPI
- 1508203084
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0471 (SD)
- Legal business name
- WEST MCPHERSON EMS, INC
- Practice address
- 613-7TH St
Eureka, SD 57437-0673 - Phone
- (605) 284-2895
- NPI assigned
- May 24, 2013
- Organization subpart
- No
Authorized official
- Name
- Mary M. Heupel
- Title
- Treasurer
- Phone
- (605) 284-2895
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D1049686 | West McPherson EMS Inc | Certificate of waiver | Jan 12, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140430000748 | SD | Part B Supplier - Ambulance Service Supplier | 9830322742 | Practice locations: Eureka, SD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0471 | SD | Yes |
Addresses
Primary practice location
613-7TH St
Eureka, SD 57437-0673
Mailing address
PO Box 673
Eureka, SD 57437-0673
Phone (605) 284-2895
NPI Registry JSON
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369353600000",
"number": "1508203084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 673",
"city": "EUREKA",
"state": "SD",
"postal_code": "574370673",
"telephone_number": "605-284-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613-7TH ST",
"city": "EUREKA",
"state": "SD",
"postal_code": "574370673",
"telephone_number": "605-284-2895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST MCPHERSON EMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A",
"authorized_official_last_name": "HEUPEL",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "605-284-2895"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SD",
"license": "0471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, SD
- Jennifer Kirschenman
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All providers in Eureka, SD · Land Ambulance in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.