Organization
WHITE LAKE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SCHROEDER (SECRETARY)
(605) 249-2279
Entity
Organization
Contact information
Practice address
209 NORTH MAIN STREET, WHITE LAKE, SD 57383-0245
(605) 249-2279
Mailing address
PO BOX 245, WHITE LAKE, SD 57383-0245
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
102
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000642
—
SD
Enumeration date
04/23/2007
Last updated
04/16/2010
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