Organization
BERESFORD COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C JAMES (PRESIDENT OF THE BOARD)
(605) 253-2275
Entity
Organization
Contact information
Practice address
301 NORTH 10TH ST, BERESFORD, SD 57004
(605) 763-2100
Mailing address
50 N KNOLL DR APT 1, SIOUX FALLS, SD 57110-6434
(605) 310-1924
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
621
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000300
—
SD
Enumeration date
04/11/2007
Last updated
04/09/2014
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