CENTERVILLE COMMUNITY AMBULANCE SERVICE, INC. (NPI# 1134129836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134129836 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE COMMUNITY AMBULANCE SERVICE, INC. |
| Practice Address |
800 Main Street Box 181 Centerville SD 57014-0181 |
| Mailing Address |
Po Box 181 800 Main Centerville SD 57014-0181 |
| Practice Telephone | 6055632842 |
| Practice Fax Number | 6055632804 |
| Mailing Telephone | 6055632842 |
| Mailing Fax Number | 6055632804 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBRA A PETERSEN (SECRETARY - TREASURER/BILLING MANGR) |
| Authorized Official Telephone | 6055632842 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
611 | SD | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9000490 | 05 | |
| DAKOTACARE | 9214848 | 01 | |
| HEALTH PARTNERS | 93812 | 01 | |
| BLUE CROSS BLUE SHIELD | 4305151 | 01 |
| Street Address |
800 MAIN STREET BOX 181 |
| City | CENTERVILLE |
| State | SD |
| Zip Code | 57014-0181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081743 | Lewis Family Drug, LLC | Pharmacy | 513 Broadway St, Centerville, SD 57014 | 2017-05-31 |
| 1003956202 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 500 Vermillion St, Centerville, SD 57014 | 2007-02-07 |
| 1518062629 | Pioneer Memorial Hospital and Health Services | Pharmacy | 513 Broadway, Centerville, SD 57014 | 2006-09-13 |
| 1508969569 | Cody D Carstensen | Pharmacist | 512 Broadway, Centerville, SD 57014 | 2006-09-06 |
| 1528017662 | Pioneer Memorial Hospital &health Services | Clinic/Center | 512 Broadway, Centerville, SD 57014-0070 | 2006-05-08 |
| 1417284928 | Candace L Verdoorn | Nurse Practitioner | 512 Broadway, Centerville, SD 57014-0070 | 2009-11-05 |
| 1043313950 | Lavonne Isaak | Pharmacy Technician | 512 Broadway, Centerville, SD 57014-0070 | 2006-09-06 |
| 1922023944 | Justin Delzer | Chiropractor | 540 Broadway, Centerville, SD 57014-0271 | 2006-07-12 |
| 1407181001 | Centerville School District 60-01 | Local Education Agency (LEA) | 610 Lincoln St, Centerville, SD 57014-2040 | 2009-10-15 |
| 1720605397 | Bruce Adam Bennett | Registered Nurse | 610 Lincoln St, Centerville, SD 57014-2040 | 2020-06-30 |
| Find all providers in zip 57014 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969578 | City of Centerville | Ambulance | 314 E Maple St, Centerville, IA 52544-2238 | 2018-10-31 |
| 1720114960 | Centerville Volunteer Fire Department and Ladies Auxilliary | Ambulance | 39567 Centerville Rd, Centerville, PA 16404-1125 | 2007-02-24 |
| 1760446660 | Reynolds County Ambulance Centerville Base | Ambulance | 2281 Buford St, Centerville, MO 63633-0052 | 2006-04-17 |
| 1649251299 | County of Hickman Office of County Executive | Ambulance | 106 E. Swan St, Centerville, TN 37033 | 2005-11-10 |
| 1225451909 | Catholic Health Initiatives, Iowa Corp | Ambulance | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2014-01-30 |
| 1255484903 | Mercy Medical Center-centerville | Ambulance | 1 Saint Joseph Dr, Centerville, IA 52544-9017 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497253751 | Paramedics Logistics South Dakota LLC | Ambulance | 4000 W 57th St, Sioux Falls, SD 57106-4228 | 2018-01-31 |
| 1518473529 | Dakota Valley Fire District | Ambulance | 205 Sodrac Drive, North Sioux City, SD 57409-1520 | 2017-12-28 |
| 1508203084 | West Mcpherson Ems, Inc | Ambulance | 613-7th St, Eureka, SD 57437-0673 | 2013-05-24 |
| 1134469521 | Hurley Volunteer Fire Department & Ambulance | Ambulance | 311 Main, Hurley, SD 57036 | 2013-02-21 |
| 1689914178 | Eastern Pennington County Ambulance District Inc | Ambulance | 210 Second Avenue, Wall, SD 57790-0336 | 2013-02-21 |
| 1124385539 | Highmore Volunteer Fire Dept Inc | Ambulance | 200 Commercial Avenue Se, Highmore, SD 57345-0340 | 2012-04-23 |
| 1497071708 | Isabel-dewey County Ambulance Service | Ambulance | 124 N. Main St, Isabel, SD 57633 | 2010-04-12 |
| 1619201142 | Carthage Ambulance Service | Ambulance | 110 Main St W, Carthage, SD 57323-2100 | 2009-09-30 |
| 1356576680 | Hudson Ambulance Association | Ambulance | 310 4th Str, Hudson, SD 57034 | 2009-05-15 |
| 1689817306 | Rural Meade Ambulance Service | Ambulance | 17506 Hwy 34, Enning, SD 57737-0054 | 2009-04-10 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 57014 |
Please comment or provide details below to improve the information on CENTERVILLE COMMUNITY AMBULANCE SERVICE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.