# GARRETSON COMMUNITY AMBULANCE CORPORATION

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

## Provider details

- **NPI number:** 1568538072
- **Authorized official:** MR. KURTIS NELSON (AMBULANCE DIRECTOR)
- **Authorized official phone:** (605) 594-2043

## Contact information

- **Practice address:** 638 N MAIN AVE, GARRETSON, SD 57030
- **Practice address phone:** (605) 594-2043
- **Practice address fax:** (605) 594-2084
- **Mailing address:** 638 N MAIN AVE, GARRETSON, SD 57030
- **Mailing address phone:** (605) 594-2043
- **Mailing address fax:** (605) 594-2084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0012 | SD | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 10/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9001002 | — | SD |