City Auditor & Light & Water

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY AUDITOR & LIGHT & WATER

Practice address

110 E. 17TH Ave.
Tyndall, SD 57066-0029

Phone

(605) 589-3481

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Jill Putnam

Title

Manager

Phone

(605) 589-3481

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City of Tyndall Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1528037231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570660029",
            "telephone_number": "605-589-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E. 17TH AVE.",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570660029",
            "telephone_number": "605-589-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY AUDITOR & LIGHT & WATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-589-3481"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000550",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0099043",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Tyndall Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Tyndall Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Albertson
• Jessica Bares, DPT
• Bon Homme School District
• Rock F. Boyd, M.D.
• Steven Michael Burtz, DDS
• Scott A Crouse, RPH
• Karl S Demarco, MD
• Taylor Diede
• Amber Evenson, PA-C
• First Chiropractic Centers, PC

• All providers in Tyndall, SD
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.