Active NPI
Plankinton Ambulance Association Inc
- Land Ambulance
- Plankinton, SD
National Provider Identifier
1679618219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PLANKINTON AMBULANCE ASSOCIATION INC
- Practice address
- 304 N Main St
Plankinton, SD 57368 - Phone
- (605) 770-2841
- NPI assigned
- Feb 21, 2007
- Last updated
- Feb 12, 2018
- 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
- Kristi S Schroeder
- Title
- Biller
- Phone
- (605) 999-0434
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | SD | Primary | |
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
304 N Main St
Plankinton, SD 57368
Mailing address
PO Box 112
Plankinton, SD 57368
Phone (605) 999-0434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9001340 | 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 |
|---|---|---|---|---|
| O20130523000393 | SD | Part B Supplier - Ambulance Service Supplier | 9133367600 | Practice locations: Plankinton, SD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518393600000",
"number": "1679618219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "PLANKINTON",
"state": "SD",
"postal_code": "57368",
"telephone_number": "605-999-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N MAIN ST",
"city": "PLANKINTON",
"state": "SD",
"postal_code": "57368",
"telephone_number": "605-770-2841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANKINTON AMBULANCE ASSOCIATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2018-02-12",
"status": "A",
"authorized_official_last_name": "SCHROEDER",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "605-999-0434"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SD",
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9001340",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plankinton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.