# PERKINS COUNTY AMBULANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BISON AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609032838
- **Authorized official:** MICHELE SMITH (ACCOUNT REPRESENTATIVE)
- **Authorized official phone:** (605) 793-9911

## Contact information

- **Practice address:** 105 W MAIN, BISON, SD 57620
- **Practice address phone:** (605) 244-5550
- **Mailing address:** PO BOX 156, BISON, SD 57620-0156
- **Mailing address phone:** (605) 244-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0531 | SD | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 12/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1609032838 | WELLMARK, BCBS | SD |
| 05 | — | 1609032838 | — | SD |