# HUDSON AMBULANCE ASSOCIATION

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

## Provider details

- **NPI number:** 1720169360
- **Authorized official:** ALMA VERBURG (PRESIDENT)
- **Authorized official phone:** (712) 476-2055

## Contact information

- **Practice address:** 310 4TH STREET, HUDSON, SD 57034-0231
- **Practice address phone:** (605) 984-2199
- **Practice address fax:** (605) 984-2229
- **Mailing address:** PO BOX 231, HUDSON, SD 57034-0231
- **Mailing address phone:** (605) 984-2199
- **Mailing address fax:** (605) 984-2229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0442 | SD | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0099120 | BLUE SHIELD PROVIDER \# | SD |
| 05 | — | 0998229 | — | IA |
| 05 | — | 9001110 | — | SD |