Lake Norden Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

323 Issued in SD

Legal business name

LAKE NORDEN AMBULANCE DISTRICT

Practice address

600 Main Avenue
600 Main Avenue
Lake Norden, SD 57248-0071

Phone

(605) 785-3602

Fax

(605) 785-3602

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Delores Kangas

Title

Director

Phone

(605) 785-3602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730154550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN AVENUE",
            "address_2": "PO BOX 71",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "572480071",
            "telephone_number": "605-785-3602",
            "fax_number": "605-785-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN AVENUE",
            "address_2": "600 MAIN AVENUE",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "572480071",
            "telephone_number": "605-785-3602",
            "fax_number": "605-785-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORDEN AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANGAS",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-785-3602",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SD",
            "license": "323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Grace Eide, COTA
• Natalie Anita Garza, LMT
• Homestead Assisted Living. LLC (The Homestead Assisted Living)
• Homestead Day Services, LLC
• Jolene Johnson
• Lake Norden Care and Rehabilitation Center LLC (Lake Norden Care and Rehabilitation Center)
• Lake Norden Family Chiropractic Center PA
• Lake Norden SD Skilled Nursing Facility LLC (Avantara Lake Norden)
• Sanford Medical Center (Sanford Clinic Lake Norden)
• Jackson Louis Snell

• Ambulance in Lake Norden, SD
• Providers in Lake Norden, SD by specialty
• Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.