Organization Active NPI

Piedmont Volunteer Fire Department

  • Land Ambulance
  • Piedmont, SD
National Provider Identifier
1912981259
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
493 Issued in SD
Legal business name
PIEDMONT VOLUNTEER FIRE DEPARTMENT
Practice address
11039 Park St
Piedmont, SD 57769-0334
Phone
(605) 787-5121
Fax
(605) 787-6958
NPI assigned
Nov 30, 2005
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Rob Linneweber
Title
Director
Phone
(605) 787-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 493 SD Primary

Addresses

Primary practice location

11039 Park St
Piedmont, SD 57769-0334

Mailing address

PO Box 334
11039 Park St
Piedmont, SD 57769-0334
Phone (605) 787-5121

Other identifiers 1

IdentifierTypeStateIssuer
9010930MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106000989 SD Part B Supplier - Ambulance Service Supplier 4183813132 Practice locations: Piedmont, 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": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1912981259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "address_2": "11039 PARK ST",
            "city": "PIEDMONT",
            "state": "SD",
            "postal_code": "577690334",
            "telephone_number": "605-787-5121",
            "fax_number": "605-787-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11039 PARK ST",
            "city": "PIEDMONT",
            "state": "SD",
            "postal_code": "577690334",
            "telephone_number": "605-787-5121",
            "fax_number": "605-787-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "LINNEWEBER",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-787-5121"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010930",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.