Organization Active NPI

City of Menno

  • Land Ambulance
  • Menno, SD
National Provider Identifier
1740254705
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
SD 372 Issued in SD
Legal business name
CITY OF MENNO
Practice address
302 S 5TH St.
Menno, SD 57045-0432
Phone
(605) 387-2423
Fax
(605) 387-2427
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Mrs. Marsha E Schelske
Title
Ambulance Director
Phone
(605) 387-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X SD 372 SD Primary

Addresses

Primary practice location

302 S 5TH St.
Menno, SD 57045-0432

Mailing address

236 S 5TH St.
PO Box 432
Menno, SD 57045-0432
Phone (605) 387-2427

Other identifiers 2

IdentifierTypeStateIssuer
0099041OtherSDWELLMARK BCBS OF SD
9000540MedicaidSD

Other names 1

  • Menno Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000049 SD Part B Supplier - Ambulance Service Supplier 9739220674 Practice locations: Menno, 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": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1740254705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S 5TH ST.",
            "address_2": "PO BOX 432",
            "city": "MENNO",
            "state": "SD",
            "postal_code": "570450432",
            "telephone_number": "605-387-2427",
            "fax_number": "605-387-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 5TH ST.",
            "city": "MENNO",
            "state": "SD",
            "postal_code": "570450432",
            "telephone_number": "605-387-2423",
            "fax_number": "605-387-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MENNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "SCHELSKE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "605-387-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "SD 372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF SD",
            "identifier": "0099041",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000540",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menno Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menno, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.