Active NPI
County of Jerauld
- Land Ambulance
- Wessington Springs, SD
National Provider Identifier
1538149455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2022
- 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. Shannon Fagerhaug
- Title
- Jerauld County Auditor
- Phone
- (605) 539-9301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S99040 | Other | SD | MEDICARE PROVIDER# |
| 9000530 | Medicaid | SD | |
| 0099040 | Other | SD | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051229000030 | SD | Part B Supplier - Ambulance Service Supplier | 9638191018 | Practice locations: Wessington Springs, SD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2222133 | Jerauld County Ambulance | Certificate of waiver | Apr 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Avera Queen of Peace (Avera Weskota Memorial Medical Center)
- Avera Queen of Peace (Avera Weskota Memorial Medical Center Swing Bed Program)
- Avera Queen of Peace (Avera Weskota Mem Med CNTR)
- Sara Jo Cashman, CNP
- Curtis Wade Collins, DDS
- Jennifer Marie Day, D.D.S.
- Kathryn R Dean, CNM
- Thomas M Dean, MD
- Melanie Hinricher
- Devan Marie Hoekman, CNP
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.