NPI 1629153002 · live from the CMS NPI Registry
Edgemont Ambulance Service
Ambulance, Land Transport in Edgemont, SD. National Provider Identifier 1629153002, active.
NPI record
| NPI | 1629153002 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 219 2nd Street, Edgemont, SD 57735 |
| Practice phone | 605-662-7977 |
| Mailing address | Po Box 212, Edgemont, SD 57735 |
| Enumerated | October 26, 2006 |
| Last updated | November 4, 2010 |
| Authorized official | Brenda Litzel, Billing Eas |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 29 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.