Active NPI
Onida Volunteer Fire Department
- Land Ambulance
- Onida, SD
National Provider Identifier
1528097466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 591
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9001700 | Medicaid | SD |
Other names 1
- ONIDA VOLUNTEER FIRE DEPT.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040804001642 | SD | Part B Supplier - Ambulance Service Supplier | 9335110063 | Practice locations: Onida, SD |
National Provider Directory
National Provider DirectoryNPI 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.