Grant-Roberts Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0291 Issued in SD

Legal business name

GRANT-ROBERTS AMBULANCE INC

Doing business as

Ortonville Ambulance Service

Practice address

305 E Railway Ave
Milbank, SD 57252-1322

Phone

(605) 432-6783

NPI assigned

Dec 8, 2006

Last updated

May 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barret Jay Wicklund

Title

Owner

Phone

(218) 739-5875

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ortonville Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in SD, MN2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1851451207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572520623",
            "telephone_number": "605-432-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E RAILWAY AVE",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521322",
            "telephone_number": "605-432-6783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572622327",
            "country_code": "US",
            "telephone_number": "605-698-4797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Ortonville",
            "state": "MN",
            "postal_code": "562781560",
            "country_code": "US",
            "telephone_number": "320-497-0346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANT-ROBERTS AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "WICKLUND",
        "authorized_official_first_name": "BARRET",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-739-5875"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9017010",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0005222",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortonville Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Milbank, SD
• Providers in Milbank, 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 May 15, 2025; 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.