Organization
COUNTY OF MARSHALL
Active
Other names
Marshall County Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE E HAGEN (AUDITOR)
(605) 448-2401
Entity
Organization
Contact information
Practice address
911 VANDER HORCK STREET, BRITTON, SD 57430-0130
(605) 448-2401
(605) 448-2116
Mailing address
911 VANDER HORCK STREET, PO BOX 130, BRITTON, SD 57430-0130
(605) 448-2401
(605) 448-2116
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
481
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4998600
WELLMARK BCBS
—
05
—
9001480
—
SD
Enumeration date
03/21/2006
Last updated
08/12/2010
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