Active NPI
Huron Ambulance Service Inc
- Land Ambulance
- Huron, SD
National Provider Identifier
1881673705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 041
- Legal business name
- HURON AMBULANCE SERVICE INC
- Practice address
- 1357 Dakota Avenue North
Huron, SD 57350-4544 - Phone
- (605) 352-2600
- Fax
- (605) 352-2600
- NPI assigned
- Jan 10, 2006
- 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
- Jennifer Gibson
- Title
- Office Manager
- Phone
- (605) 352-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 041 | SD | Primary |
Addresses
Primary practice location
1357 Dakota Avenue North
Huron, SD 57350-4544
Mailing address
PO Box 3100
Carbondale, IL 62902-3100
Phone (618) 529-2200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090009 | Other | SD | WELLMARK |
| N0175 | Other | SD | DAKOTA CARE |
| 9000060 | Medicaid | SD | |
| 590163079 | Other | SD | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060607000036 | SD | Part B Supplier - Ambulance Service Supplier | 6305857491 | Practice locations: Huron, SD |
National Provider Directory
National Provider DirectoryLocations
1357 Dakota Ave N
Huron, SD 57350
Phone (605) 352-2600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674604800000",
"number": "1881673705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3100",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023100",
"telephone_number": "618-529-2200",
"fax_number": "605-853-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 DAKOTA AVENUE NORTH",
"city": "HURON",
"state": "SD",
"postal_code": "573504544",
"telephone_number": "605-352-2600",
"fax_number": "605-352-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURON AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-10",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "605-352-2600"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "SD",
"license": "041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "0090009",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTA CARE",
"identifier": "N0175",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000060",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "590163079",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.