Carthage Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0511 Issued in SD

Legal business name

CARTHAGE AMBULANCE SERVICE

Practice address

110 Main St W
Carthage, SD 57323-2100

Phone

(605) 772-4173

NPI assigned

Sep 30, 2009

Last updated

Feb 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristoffer Magerko

Title

Director

Phone

(605) 772-2265

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1619201142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "CARTHAGE",
            "state": "SD",
            "postal_code": "573230084",
            "telephone_number": "605-772-2265",
            "fax_number": "605-772-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST W",
            "city": "CARTHAGE",
            "state": "SD",
            "postal_code": "573232100",
            "telephone_number": "605-772-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "MAGERKO",
        "authorized_official_first_name": "KRISTOFFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-772-2265"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.