EASTERN PENNINGTON COUNTY AMBULANCE DISTRICT INC (NPI# 1689914178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689914178 |
| Entity Type | Organization |
| Organization Name | EASTERN PENNINGTON COUNTY AMBULANCE DISTRICT INC |
| Other Organization Name | WALL AMBULANCE SERVICE |
| Practice Address |
210 Second Avenue Wall SD 57790-0336 |
| Mailing Address |
Po Box 336 Wall SD 57790-0336 |
| Practice Telephone | 6052792663 |
| Practice Fax Number | 6052792067 |
| Mailing Telephone | 6052792663 |
| Mailing Fax Number | 6052792067 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | JOHN KITTERMAN (AMBULANCE DIRECTOR) |
| Authorized Official Telephone | 6052792620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0026 | SD | Transportation Services |
| Other Name | Type Code |
|---|---|
| WALL AMBULANCE SERVICE | Doing Business As Name - Organization |
| Street Address |
210 SECOND AVENUE |
| City | WALL |
| State | SD |
| Zip Code | 57790-0336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003230541 | Regional Health Physicians, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790 | 2014-02-04 |
| 1508340563 | Badlands Physical Therapy, LLC | Physical Therapist | 910 Main St, Wall, SD 57790 | 2018-09-17 |
| 1801212402 | Regional Health Physicians, Inc. | Family Medicine | 112 7th Avenue, Wall, SD 57790 | 2014-03-07 |
| 1386903045 | Black Hills Health and Wellness Center | Chiropractor | 114 4th Ave, Wall, SD 57790 | 2012-05-15 |
| 1629457841 | Rapid City Regional Hospital Inc | Family Medicine | 112 7th Avenue, Wall, SD 57790-0000 | 2015-05-20 |
| 1467842922 | Regional Health Physicians Inc | Respite Care | 112 7th Avenue, Wall, SD 57790-0000 | 2015-02-04 |
| 1265811285 | Monument Health Rapid City Hospital, Inc. | Family Medicine | 112 7th Avenue, Wall, SD 57790-0001 | 2015-05-22 |
| 1457730673 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790-0001 | 2015-05-20 |
| 1104330620 | Rapid City Regional Hospital, Inc. | Respite Care | 112 7th Avenue, Wall, SD 57790-0010 | 2017-11-20 |
| 1821094582 | David Orla Olson | Nurse Anesthetist, Certified Registered | 118 Golf Course Rd, Wall, SD 57790-0026 | 2005-06-27 |
| Find all providers in zip 57790 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 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 |
| 1821276379 | New Underwood Ambulance Service | Ambulance | 314 S 'a' Ave, New Underwood, SD 57761-0436 | 2008-02-07 |
| Find all providers with the same taxonomy | ||||
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| 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.