Perkins County Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0531 Issued in SD

Legal business name

PERKINS COUNTY AMBULANCE

Doing business as

Bison Ambulance

Practice address

105 W Main
Bison, SD 57620

Phone

(605) 244-5550

NPI assigned

Aug 7, 2008

Organization subpart

No

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

Authorized official

Name

Michele Smith

Title

Account Representative

Phone

(605) 793-9911

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BISON AMBULANCE Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1609032838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "BISON",
            "state": "SD",
            "postal_code": "576200156",
            "telephone_number": "605-244-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MAIN",
            "city": "BISON",
            "state": "SD",
            "postal_code": "57620",
            "telephone_number": "605-244-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "605-793-9911"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK, BCBS",
            "identifier": "1609032838",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609032838",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BISON AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bison School District #52-1
• Melinda C Dalley, FNP
• Horizon Health Care Inc (Bison Community Clinic)
• Daniel J Kvale, PAC

• Land Ambulance in Bison, SD
• Providers in Bison, SD by specialty
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.