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Organization
SPEARFISH EMERGENCY AMBULANCE SERVICE
Active
Organization
SPEARFISH EMERGENCY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN S HAMBEK NREMT-P (EXECUTIVE DIRECTOR)
(605) 642-8810
Entity
Organization
Contact information
Practice address
715 E COLORADO BLVD, SPEARFISH, SD 57783-2702
(605) 642-8810
(605) 717-0193
Mailing address
715 E COLORADO BLVD, SPEARFISH, SD 57783-2702
(605) 642-8810
(605) 717-0193
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0092
SD
343800000X
Secured Medical Transport (VAN)
0092
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099162
WELLMARK BCBS OF SD
SD
05
—
9010990
—
SD
Enumeration date
10/30/2005
Last updated
04/12/2017
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