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Organization
SOUTH SHORE AMBULANCE SERVICE
Active
Organization
SOUTH SHORE AMBULANCE SERVICE
Active
Other names
Town of South Shore
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L. FALK TREASURER (OFFICE MANAGER)
(605) 756-4511
Entity
Organization
Contact information
Practice address
103 EAST BERRY AVE, SOUTH SHORE, SD 57263-0561
(605) 756-4511
Mailing address
PO BOX 561, SOUTH SHORE, SD 57263-0561
(605) 756-4511
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0051
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099096
WELLMARK BLUE CROSS/BLUE
SD
05
—
90002960
—
SD
01
—
P00078761
RAILROAD MEDICARE
SD
01
—
S41825
P-10
SD
Enumeration date
09/05/2006
Last updated
05/22/2013
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