Dewey County Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

242 Issued in SD

Legal business name

DEWEY COUNTY AMBULANCE SERVICE

Doing business as

Dewey County Ambulance Service-Isabel

Practice address

124 N Main
Isabel, SD 57633

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Feb 12, 2007

Last updated

Apr 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron Stradinger

Title

Chairman

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DEWEY COUNTY AMBULANCE SERVICE-ISABEL Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1518009349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MAIN",
            "city": "ISABEL",
            "state": "SD",
            "postal_code": "57633",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWEY COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "STRADINGER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "0099200",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000520",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEWEY COUNTY AMBULANCE SERVICE-ISABEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Isabel, SD
• Providers in Isabel, SD by specialty
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.