Organization
SIOUX FALLS AMBULANCE INC
Active
Other names
Rural/Metro Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD VAN HORNE (PRESIDENT & CEO)
(682) 227-6078
Entity
Organization
Contact information
Practice address
121 S WILLIAMS AVE, SIOUX FALLS, SD 57104-3135
(605) 336-6711
(605) 336-1445
Mailing address
PO BOX 2812, SCOTTSDALE, AZ 85252-2812
(855) 249-2841
(480) 627-6128
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0014
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590163170
RR MEDICARE NO
SD
05
—
9010020
—
SD
Enumeration date
05/28/2006
Last updated
04/26/2016
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