EDGEMONT AMBULANCE SERVICE (NPI# 1629153002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629153002 |
| Entity Type | Organization |
| Organization Name | EDGEMONT AMBULANCE SERVICE |
| Practice Address |
219 2nd Street Edgemont SD 57735 |
| Mailing Address |
Po Box 212 Edgemont SD 57735 |
| Practice Telephone | 6056627977 |
| Practice Fax Number | 6056627977 |
| Mailing Telephone | 6056627977 |
| Mailing Fax Number | 6056627977 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | BRENDA M LITZEL (BILLING EAS) |
| Authorized Official Telephone | 6056627416 |
| Authorized Official Credential | BILLING OFFICER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
29 | SD | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9010800 | 05 |
| Street Address |
219 2ND STREET |
| City | EDGEMONT |
| State | SD |
| Zip Code | 57735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841331741 | Regional Health Physicians Inc | Clinic/Center | Edgemont Regional Medical Clinic, 908 H Street, Edgemont, SD 57735 | 2007-02-12 |
| 1104901693 | Edgemont School District 23-1 | Local Education Agency (LEA) | 715 D Street, Edgemont, SD 57735-0029 | 2006-10-25 |
| 1447295423 | Regional Health Physicians Inc | Clinic/Center | 908 H Street, Edgemont, SD 57735-0687 | 2006-06-17 |
| 1780889527 | Regional Health Physicians Inc | Clinic/Center | 908 H Street, Edgemont, SD 57735-0687 | 2007-06-20 |
| 1932366291 | Cactus Hills Retirement | Assisted Living Facility | 908 H Str, Edgemont, SD 57735-0689 | 2008-05-22 |
| 1043281819 | Jacqualine L Dohrmann | Nurse Anesthetist, Certified Registered | 25674 Dewey Rd, Edgemont, SD 57735-7004 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233914 | Barbara Faye Ellis | Nurse Practitioner | 4250 Brewer Rd, Edgemont, AR 72044-9539 | 2020-01-07 |
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on EDGEMONT AMBULANCE SERVICE.
| 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.