Organization
CITY OF LAKE PRESTON
Active
Other names
LAKE PRESTON AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE M NELSON (PRESIDENT)
(605) 847-4140
Entity
Organization
Contact information
Practice address
111 3RD ST NE, LAKE PRESTON, SD 57249-0397
(605) 847-4140
(605) 847-4140
Mailing address
30177 422ND AVE, TYNDALL, SD 57066
(605) 464-0382
(605) 589-3672
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0424
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000340
—
SD
Enumeration date
07/31/2006
Last updated
09/29/2017
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