Organization
KARE LINES AMBULANCE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAV ROBERT LUTJENS PARAMEDIC/OWNER (OWNER OF AMBULANCE SERVICE)
(605) 698-3300
Entity
Organization
Contact information
Practice address
315 5TH AVE E, SISSETON, SD 57262-2020
(605) 698-3153
Mailing address
315 5TH AVE E, PO BOX 241, SISSETON, SD 57262-2020
(605) 698-3153
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0552
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090654
SD BLUE CROSS NUMBER
SD
05
—
9010460
—
SD
Enumeration date
02/09/2006
Last updated
10/25/2007
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