Active NPI
Alcester EMS
- Land Ambulance
- Alcester, SD
National Provider Identifier
1609189950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0624
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609189950 | Other | SD | WELLMARK, BCBS |
| 9017070 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100615000939 | SD | Part B Supplier - Ambulance Service Supplier | 1355471483 | Practice locations: Alcester, SD |
National Provider Directory
National Provider Directory- Tax ID family
- Alcester Ambulance Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Alcester, SD
- NPI 1972530475
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.