# SPEARFISH EMERGENCY AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336130434
- **Authorized official:** MR. BRIAN S HAMBEK NREMT-P (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (605) 642-8810

## Contact information

- **Practice address:** 715 E COLORADO BLVD, SPEARFISH, SD 57783-2702
- **Practice address phone:** (605) 642-8810
- **Practice address fax:** (605) 717-0193
- **Mailing address:** 715 E COLORADO BLVD, SPEARFISH, SD 57783-2702
- **Mailing address phone:** (605) 642-8810
- **Mailing address fax:** (605) 717-0193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0092 | SD | Yes |
| 343800000X | Secured Medical Transport (VAN) | 0092 | SD | — |

## Other

- **Enumeration date:** 10/30/2005
- **Last updated:** 04/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0099162 | WELLMARK BCBS OF SD | SD |
| 05 | — | 9010990 | — | SD |