Organization Active NPI

County of Miner

  • Land Ambulance
  • Howard, SD
National Provider Identifier
1508900697
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3416L0300X Issued in SD
Legal business name
COUNTY OF MINER
Practice address
401 N. Main St.
Howard, SD 57349-0086
Phone
(605) 772-4671
Fax
(605) 772-4203
NPI assigned
Feb 20, 2007
Organization subpart
Yes
Parent organization
COUNTY OF MINERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Helen D. Sprecher
Title
Ambulance Billing Manager
Phone
(605) 772-4671

Specialties & licenses 1

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

Addresses

Primary practice location

401 N. Main St.
Howard, SD 57349-0086

Mailing address

PO Box 86
Howard, SD 57349-0086
Phone (605) 772-4671

Other identifiers 1

IdentifierTypeStateIssuer
9001150MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000078 SD Part B Supplier - Ambulance Service Supplier 1759415078 Practice locations: Howard, SD

National Provider Directory

National Provider Directory
Part of
County of Miner

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1508900697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "HOWARD",
            "state": "SD",
            "postal_code": "573490086",
            "telephone_number": "605-772-4671",
            "fax_number": "605-772-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N. MAIN ST.",
            "city": "HOWARD",
            "state": "SD",
            "postal_code": "573490086",
            "telephone_number": "605-772-4671",
            "fax_number": "605-772-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MINER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF MINER",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "SPRECHER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "AMBULANCE BILLING MANAGER",
        "authorized_official_telephone_number": "605-772-4671"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001150",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.