Organization
MISSOURI VALLEY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERYN Q. BENTON (AMBULANCE DIRECTOR)
(605) 234-4490
Entity
Organization
Contact information
Practice address
306 N. COURTLAND ST., CHAMBERLAIN, SD 57325
(605) 234-4490
(605) 234-4491
Mailing address
PO BOX 354, CHAMBERLAIN, SD 57325-0354
(605) 234-4490
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0131
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9010752
—
SD
Enumeration date
09/27/2006
Last updated
11/08/2018
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