# WAGNER-LAKE ANDES AMBULANCE DISTRICT

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

## Provider details

- **NPI number:** 1548286875
- **Authorized official:** MS. B STEINMARK (ADMINISTRATOR)
- **Authorized official phone:** (605) 487-6177

## Contact information

- **Practice address:** 455 E MAIN ST., LAKE ANDES, SD 57356-0758
- **Practice address phone:** (605) 487-6177
- **Practice address fax:** (605) 487-6177
- **Mailing address:** PO BOX 758, LAKE ANDES, SD 57356-0758
- **Mailing address phone:** (605) 487-6177
- **Mailing address fax:** (605) 487-6177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0171 AND 0173 | SD | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 04/20/2008