Organization
FAULK COUNTY
Active
Other names
Faulk County Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLIS R MELIUS (BILLING CLERK)
(605) 598-6232
Entity
Organization
Contact information
Practice address
110 9TH AVE S, FAULKTON, SD 57438-0309
(605) 598-6232
(605) 598-6680
Mailing address
110 9TH AVE S, PO BOX 309, FAULKTON, SD 57438-0309
(605) 598-6232
(605) 598-6680
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0281
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099104
BLUE CROSS BLUE SHIELD
SD
05
—
9017090
—
SD
Enumeration date
11/01/2006
Last updated
09/17/2010
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