Jones County Emergency Care Council, Inc
Organization Active NPI Ambulance · Murdo, SD
NPI 1871662833 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1871662833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 411 (SD)
- Legal business name
- JONES COUNTY EMERGENCY CARE COUNCIL, INC
- Practice address
- 101 N. Main St.
Murdo, SD 57559 - Phone
- (605) 669-3125
- Fax
- (605) 669-2841
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Bethany Jade Newbold
- Title
- Treasurer
- Phone
- (605) 669-3125
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D1049727 | Jones County Ambulance | Certificate of waiver | Jan 16, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110105000807 | SD | Part B Supplier - Ambulance Service Supplier | 9032308176 | Practice locations: Murdo, SD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 411 | SD | Yes |
Addresses
Primary practice location
101 N. Main St.
Murdo, SD 57559
Mailing address
PO Box 305
Murdo, SD 57559-0305
Phone (605) 669-3125
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099155 | Other | SC | BLUE CROSS/BLUE SHIELD |
| 1228293 | Medicaid | WY | |
| 9011180 | Medicaid | SD |
Other names
- Jones County Ambulance
Other providers in Murdo, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.