Wellformed AI

NPI 1275623134 · live from the CMS NPI Registry

Custer Ambulance Service INC

Ambulance in Custer, SD. National Provider Identifier 1275623134, active.

NPI record

NPI1275623134 Type 2 · organization
StatusActive
Primary specialtyAmbulance 341600000X
Practice location30 S 3rd St, Custer, SD 57730
Practice phone605-673-3334
Mailing addressPo Box 847, 30 S 3rd St, Custer, SD 57730
EnumeratedOctober 13, 2006
Last updatedNovember 27, 2007
Authorized officialHapsie Nutley, President

Taxonomies and licenses

TaxonomyCodeLicense
Ambulance primary341600000X0212 (SD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.