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

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D1049686West McPherson EMS Inc
613 7TH Street, Eureka, SD 57437
Certificate of waiverJan 12, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140430000748 SD Part B Supplier - Ambulance Service Supplier 9830322742 Practice locations: Eureka, SD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2013.

{
    "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

All providers in Eureka, SD · Land Ambulance in South Dakota

Sources for this page

Verify at the official NPI Registry.