Bonesteel Fairfax Ambulance

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

BONESTEEL FAIRFAX AMBULANCE

Practice address

206 Mellette Street
Bonesteel, SD 57317-9998

Phone

(605) 654-2456

NPI assigned

Jun 6, 2012

Last updated

Jun 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Dummer

Title

Biller

Phone

(605) 654-2456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1942561006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MELLETTE STREET",
            "city": "BONESTEEL",
            "state": "SD",
            "postal_code": "573179998",
            "telephone_number": "605-654-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MELLETTE STREET",
            "city": "BONESTEEL",
            "state": "SD",
            "postal_code": "573179998",
            "telephone_number": "605-654-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONESTEEL FAIRFAX AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "DUMMER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "605-654-2456"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonesteel Amb
• Bonesteel Fairfax SCH Dist 26-5
• Community Memorial Hospital Inc (Bonesteel Medical Clinic)
• Community Memorial Hospital Inc (Bonesteel Medical Clinic)
• Jons Family Inc.
• Tayla Mae Sehr

• Voluntary or Charitable Agency in Bonesteel, SD
• Providers in Bonesteel, SD by specialty
• Voluntary or Charitable Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.