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Organization
ALCESTER EMS
Active
Organization
ALCESTER EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI A LARSEN (TREASURER)
(605) 934-2338
Entity
Organization
Contact information
Practice address
106 W 2ND STREET, ALCESTER, SD 57001
(605) 934-2338
Mailing address
PO BOX 911, ALCESTER, SD 57001-0911
(605) 934-2338
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0624
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609189950
WELLMARK, BCBS
SD
05
—
9017070
—
SD
Enumeration date
07/15/2010
Last updated
08/11/2010
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