# ALCESTER EMS

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

## Provider details

- **NPI number:** 1609189950
- **Authorized official:** MRS. VICKI A LARSEN (TREASURER)
- **Authorized official phone:** (605) 934-2338

## Contact information

- **Practice address:** 106 W 2ND STREET, ALCESTER, SD 57001
- **Practice address phone:** (605) 934-2338
- **Mailing address:** PO BOX 911, ALCESTER, SD 57001-0911
- **Mailing address phone:** (605) 934-2338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0624 | SD | Yes |

## Other

- **Enumeration date:** 07/15/2010
- **Last updated:** 08/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1609189950 | WELLMARK, BCBS | SD |
| 05 | — | 9017070 | — | SD |
