# BERESFORD COMMUNITY AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1467675967
- **Authorized official:** ROBERT C JAMES (PRESIDENT OF THE BOARD)
- **Authorized official phone:** (605) 253-2275

## Contact information

- **Practice address:** 301 NORTH 10TH ST, BERESFORD, SD 57004
- **Practice address phone:** (605) 763-2100
- **Mailing address:** 50 N KNOLL DR APT 1, SIOUX FALLS, SD 57110-6434
- **Mailing address phone:** (605) 310-1924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 621 | SD | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 04/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9000300 | — | SD |