Organization
KEYSTONE AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANA MARIE MULLOY III (OFFICE MANAGER)
(605) 666-5033
Entity
Organization
Contact information
Practice address
1005 HARNEY STREET, BOX 175, KEYSTONE, SD 57751-0175
(605) 666-5033
(605) 666-5236
Mailing address
BOX 175, 1005 HARNEY STREET, KEYSTONE, SD 57751-0175
(605) 666-5033
(605) 666-5236
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
025
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002930
—
SD
Enumeration date
01/30/2006
Last updated
08/22/2020
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