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Organization
HUMBOLDT FIRE & AMBULANCE SERVICE
Active
Organization
HUMBOLDT FIRE & AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SHUMAKER EMT-P (ASST AMBULANCE DIRECTOR)
(605) 363-3100
Entity
Organization
Contact information
Practice address
321 W 2ND AVE, HUMBOLDT, SD 57035-2044
(605) 363-3100
Mailing address
PO BOX 227, HUMBOLDT, SD 57035-0227
(605) 363-3100
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0013
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9011340
—
SD
01
—
99015
WELLMARK, BCBS
SD
Enumeration date
02/16/2010
Last updated
02/02/2012
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