White Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0063 Issued in SD

Legal business name

WHITE AMBULANCE SERVICE

Practice address

107 N Lincoln Ave
White, SD 57276

Phone

(605) 882-9911

Fax

(605) 882-9922

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Smith

Title

Account Representative

Phone

(605) 882-9911

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1699841981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N LINCOLN AVE",
            "address_2": "PO BOX 93",
            "city": "WHITE",
            "state": "SD",
            "postal_code": "57276",
            "telephone_number": "605-882-9911",
            "fax_number": "605-882-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N LINCOLN AVE",
            "city": "WHITE",
            "state": "SD",
            "postal_code": "57276",
            "telephone_number": "605-882-9911",
            "fax_number": "605-882-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "605-882-9911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001410",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Jo Gibson, CNP
• Lynelle Hagedorn
• Hendricks Community Hospital Association
• Lori Sapp, PT
• Heather D Thompson, RN
• White Healthcare Center Inc

• Land Ambulance in White, SD
• Providers in White, SD by specialty
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.