Organization Active NPI

Alcester EMS

  • Land Ambulance
  • Alcester, SD
National Provider Identifier
1609189950
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0624 Issued in SD
Legal business name
ALCESTER EMS
Practice address
106 W 2ND Street
Alcester, SD 57001
Phone
(605) 934-2338
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Mrs. Vicki A Larsen
Title
Treasurer
Phone
(605) 934-2338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0624 SD Primary

Addresses

Primary practice location

106 W 2ND Street
Alcester, SD 57001

Mailing address

PO Box 911
Alcester, SD 57001-0911
Phone (605) 934-2338

Other identifiers 2

IdentifierTypeStateIssuer
1609189950OtherSDWELLMARK, BCBS
9017070MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100615000939 SD Part B Supplier - Ambulance Service Supplier 1355471483 Practice locations: Alcester, SD

National Provider Directory

National Provider Directory
Tax ID family
Alcester Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 E 1st St
Alcester, SD 57001
Phone (605) 595-3727

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1609189950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "ALCESTER",
            "state": "SD",
            "postal_code": "570010911",
            "telephone_number": "605-934-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W 2ND STREET",
            "city": "ALCESTER",
            "state": "SD",
            "postal_code": "57001",
            "telephone_number": "605-934-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCESTER EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "605-934-2338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK, BCBS",
            "identifier": "1609189950",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9017070",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcester, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.

Verify at the official NPI Registry.