Active NPI
Piedmont Volunteer Fire Department
- Land Ambulance
- Piedmont, SD
National Provider Identifier
1912981259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 493
- 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, 2013
- 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
- Rob Linneweber
- Title
- Director
- Phone
- (605) 787-5121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9010930 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110106000989 | SD | Part B Supplier - Ambulance Service Supplier | 4183813132 | Practice locations: Piedmont, SD |
National Provider Directory
National Provider DirectoryNPI 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.