NPI 1043247679 · live from the CMS NPI Registry
Timber Lake Ambulance Service INC
Ambulance, Land Transport in Timber Lake, SD. National Provider Identifier 1043247679, active.
NPI record
| NPI | 1043247679 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 900 Main St, Timber Lake, SD 57656 |
| Practice phone | 402-572-4019 |
| Mailing address | Po Box 641880, Omaha, NE 68164 |
| Enumerated | June 27, 2006 |
| Last updated | April 29, 2009 |
| Authorized official | Chris Hermes, Treasurer |
| Other names | Timber Lake Ambulance Service |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 0243 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.