Active NPI
Philip Ambulance Service
- Land Ambulance
- Philip, SD
National Provider Identifier
1861527210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 311
- Legal business name
- PHILIP AMBULANCE SERVICE
- Practice address
- 100 S Larimer Ave
Philip, SD 57567 - Phone
- (605) 859-2424
- NPI assigned
- Feb 23, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Esther Oldenberg
- Title
- Paramedic
- Phone
- (605) 859-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 311 | SD | Primary |
Addresses
Primary practice location
100 S Larimer Ave
Philip, SD 57567
Mailing address
PO Box 395
100 S Larimer Ave
Philip, SD 57567-0395
Phone (605) 859-2424
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9173771 | Other | SD | DAKOTA CARE |
| 9010982 | Medicaid | SD | |
| 005507 | Other | SD | INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091222000022 | SD | Part B Supplier - Ambulance Service Supplier | 7214077395 | Practice locations: Philip, SD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861527210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 395",
"address_2": "100 S LARIMER AVE",
"city": "PHILIP",
"state": "SD",
"postal_code": "575670395",
"telephone_number": "605-859-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S LARIMER AVE",
"city": "PHILIP",
"state": "SD",
"postal_code": "57567",
"telephone_number": "605-859-2424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OLDENBERG",
"authorized_official_first_name": "ESTHER",
"authorized_official_title_or_position": "PARAMEDIC",
"authorized_official_telephone_number": "605-859-2424"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SD",
"license": "311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTA CARE",
"identifier": "9173771",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9010982",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "005507",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philip, SD
- Courtney Larson Kjerstad, PHARM.D.
- Kayli Ellen Jean Kjerstad, RN
- Jenna M Maag, NP
- Ronald G Mann, DDS
- Robin R Peterson-Lund, CNP
- Philip Clinic (Phiip Clinic)
- Philip Health Services, Inc. (Hans P. Peterson Memorial Hospital)
- Philip Health Services, Inc. (Philip Home Health)
- Philip Health Services, Inc.
- Philip Health Services, Inc. (Hans P Peterson Memorial Hospital)
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.