Organization Active NPI

Onida Volunteer Fire Department

  • Land Ambulance
  • Onida, SD
National Provider Identifier
1528097466
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
591 Issued in SD
Legal business name
ONIDA VOLUNTEER FIRE DEPARTMENT
Practice address
702 Birch Ave
Onida, SD 57564
Phone
(877) 882-9911
Fax
(877) 882-9922
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Mrs. Michele Smith
Title
Account Respresentative
Phone
(877) 882-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 591 SD Primary

Addresses

Primary practice location

702 Birch Ave
Onida, SD 57564

Mailing address

702 Birch Ave
Onida, SD 57564
Phone (877) 882-9911

Other identifiers 1

IdentifierTypeStateIssuer
9001700MedicaidSD

Other names 1

  • ONIDA VOLUNTEER FIRE DEPT. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001642 SD Part B Supplier - Ambulance Service Supplier 9335110063 Practice locations: Onida, SD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1528097466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BIRCH AVE",
            "city": "ONIDA",
            "state": "SD",
            "postal_code": "57564",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BIRCH AVE",
            "city": "ONIDA",
            "state": "SD",
            "postal_code": "57564",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONIDA VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ACCOUNT RESPRESENTATIVE",
        "authorized_official_telephone_number": "877-882-9911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001700",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONIDA VOLUNTEER FIRE DEPT.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Onida, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.