Organization Active NPI

County of Jerauld

  • Land Ambulance
  • Wessington Springs, SD
National Provider Identifier
1538149455
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF JERAULD
Practice address
604 1St St NE
Wessington Springs, SD 57382-2166
Phone
(605) 539-1201
Fax
(605) 539-4580
NPI assigned
Jan 18, 2006
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Mrs. Shannon Fagerhaug
Title
Jerauld County Auditor
Phone
(605) 539-9301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

604 1St St NE
Wessington Springs, SD 57382-2166

Mailing address

604 1St St NE
Wessington Springs, SD 57382-2166
Phone (605) 539-1201

Other identifiers 3

IdentifierTypeStateIssuer
S99040OtherSDMEDICARE PROVIDER#
9000530MedicaidSD
0099040OtherSDBC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051229000030 SD Part B Supplier - Ambulance Service Supplier 9638191018 Practice locations: Wessington Springs, SD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D2222133Jerauld County Ambulance604 1St St Northeast, Wessington Springs, SD 57382Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

604 1st St NE
Wessington Springs, SD 57382
Phone (605) 539-1021

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1538149455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 1ST ST NE",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822166",
            "telephone_number": "605-539-1201",
            "fax_number": "605-539-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 1ST ST NE",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822166",
            "telephone_number": "605-539-1201",
            "fax_number": "605-539-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JERAULD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "FAGERHAUG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "JERAULD COUNTY AUDITOR",
        "authorized_official_telephone_number": "605-539-9301",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER#",
            "identifier": "S99040",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000530",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "0099040",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wessington Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.