Organization Active NPI

Frederick Area Ambulance

  • Land Ambulance
  • Frederick, SD
National Provider Identifier
1558390468
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
033 Issued in SD
Legal business name
FREDERICK AREA AMBULANCE
Practice address
406 3Rd Ave
Frederick, SD 57441
Phone
(877) 882-9911
Fax
(877) 882-9922
NPI assigned
Jul 2, 2006
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 033 SD Primary

Addresses

Primary practice location

406 3Rd Ave
Frederick, SD 57441

Mailing address

406 3Rd Ave
Frederick, SD 57441
Phone (877) 882-9911

National Provider Directory

National Provider Directory

Locations

406 3rd Ave
Frederick, SD 57441
Phone (605) 329-2030

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": "1245888000000",
    "number": "1558390468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 3RD AVE",
            "city": "FREDERICK",
            "state": "SD",
            "postal_code": "57441",
            "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": "406 3RD AVE",
            "city": "FREDERICK",
            "state": "SD",
            "postal_code": "57441",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK AREA AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "877-882-9911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.