NPI 1992734818 · live from the CMS NPI Registry
Jefferson Volunteer Ambulance
Ambulance, Land Transport in Jefferson, SD. National Provider Identifier 1992734818, active.
NPI record
| NPI | 1992734818 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 509 Railroad St, Jefferson, SD 57038 |
| Practice phone | 877-882-9911 |
| Mailing address | 509 Railroad Street, Jefferson, SD 57038 |
| Enumerated | July 2, 2006 |
| Last updated | October 3, 2012 |
| Authorized official | Michele Smith, Billing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 623 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.