Hudson Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0442 Issued in SD

Legal business name

HUDSON AMBULANCE ASSOCIATION

Practice address

310 4TH Street
Hudson, SD 57034-0231

Phone

(605) 984-2199

Fax

(605) 984-2229

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Alma Verburg

Title

President

Phone

(712) 476-2055

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1720169360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "HUDSON",
            "state": "SD",
            "postal_code": "570340231",
            "telephone_number": "605-984-2199",
            "fax_number": "605-984-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 4TH STREET",
            "city": "HUDSON",
            "state": "SD",
            "postal_code": "570340231",
            "telephone_number": "605-984-2199",
            "fax_number": "605-984-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "VERBURG",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-476-2055"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001110",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "0099120",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0998229",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hudson Ambulance Association
• Hudson Care and Rehab Center LLC
• Kristi J. Jensen-Johnson, PT
• Jessica Ann Rouillard, IADC
• Ward Enterprises LLP

• All providers in Hudson, SD
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.