Organization
NORTHEAST AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET Y GRIEPP (MEDICAL BILLING)
(605) 698-3797
Entity
Organization
Contact information
Practice address
105 N TEDIN AVE, ROSHOLT, SD 57260-2106
(605) 537-4215
Mailing address
45294 116TH ST, SISSETON, SD 57262-6909
(605) 698-3797
(605) 698-9061
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0551
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099167
OTHER PROVIDER NUMBER
SD
05
—
9001420
—
SD
Enumeration date
05/04/2006
Last updated
08/22/2020
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