# SOUTH SHORE AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Town of South Shore
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588766851
- **Authorized official:** SHARON L. FALK TREASURER (OFFICE MANAGER)
- **Authorized official phone:** (605) 756-4511

## Contact information

- **Practice address:** 103 EAST BERRY AVE, SOUTH SHORE, SD 57263-0561
- **Practice address phone:** (605) 756-4511
- **Mailing address:** PO BOX 561, SOUTH SHORE, SD 57263-0561
- **Mailing address phone:** (605) 756-4511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0051 | SD | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 05/22/2013

## 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 |