Organization
KADOKA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN STOLLEY (BILLING CLERK)
(605) 837-2320
Entity
Organization
Contact information
Practice address
MAIN STREET, KADOKA, SD 57543-0116
(605) 837-2320
Mailing address
PO BOX 116, KADOKA, SD 57543-0116
(605) 837-2320
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0391
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9010070
—
SD
Enumeration date
08/01/2006
Last updated
11/06/2007
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