Organization Active NPI

Plankinton Ambulance Association Inc

  • Land Ambulance
  • Plankinton, SD
National Provider Identifier
1679618219
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9001340MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130523000393 SD Part B Supplier - Ambulance Service Supplier 9133367600 Practice locations: Plankinton, SD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.