Organization
CUSTER AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAPSIE D NUTLEY (PRESIDENT)
(605) 673-3334
Entity
Organization
Contact information
Practice address
30 S 3RD ST, CUSTER, SD 57730
(605) 673-3334
(605) 673-4818
Mailing address
PO BOX 847, 30 S 3RD ST, CUSTER, SD 57730
(605) 673-3334
(605) 673-4818
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0212
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9010250
—
SD
Enumeration date
10/13/2006
Last updated
11/27/2007
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