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Organization
MED STAR PARAMEDIC INC
Active
Organization
MED STAR PARAMEDIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH C ZIMMERMAN (BUSINESS OFFICE MANAGER)
(605) 582-6096
Entity
Organization
Contact information
Practice address
922 E REDWOOD BLVD, BRANDON, SD 57005
(605) 582-6096
(605) 582-8983
Mailing address
PO BOX 512, 922 E REDWOOD BLVD, BRANDON, SD 57005
(605) 582-6096
(605) 582-8983
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
0015
SD
3416L0300X
Land Ambulance
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9011110
—
SD
Enumeration date
11/17/2006
Last updated
06/15/2011
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