Castlewood Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0321 Issued in SD

Legal business name

CASTLEWOOD AMBULANCE DISTRICT

Practice address

208 East Main
Castlewood, SD 57223

Phone

(605) 793-2124

NPI assigned

Aug 26, 2006

Last updated

Aug 22, 2020By 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

Carmen Jankord

Title

Business Manager

Phone

(605) 793-2124

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952419350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45942 182ND ST",
            "city": "CASTLEWOOD",
            "state": "SD",
            "postal_code": "572235303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 EAST MAIN",
            "city": "CASTLEWOOD",
            "state": "SD",
            "postal_code": "57223",
            "telephone_number": "605-793-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEWOOD AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANKORD",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-793-2124"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "0321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003092",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Castlewood Assisted Living, LLC (Castlewood Assisted Living)
• Castlewood School District 28 1
• Prairie Lakes Health Care System Inc (Sanford Health Castlewood Clinic)
• Linda K Shamblin, PTA

• Land Ambulance in Castlewood, SD
• Providers in Castlewood, SD by specialty
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.