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Organization

ELK POINT COMMUNITY AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELE SMITH (ACCOUNT REPRESENTATIVE)
(877) 882-9911
Entity
Organization

Contact information

Practice address
210 E MAIN ST, ELK POINT, SD 57025
(877) 882-9911
(877) 882-9922
Mailing address
210 E MAIN ST, ELK POINT, SD 57025
(877) 882-9911
(877) 882-9922

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
622
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9011230
SD
Enumeration date
07/05/2006
Last updated
10/26/2007
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