Organization
SOUTH SHORE AMBULANCE SERVICE
Active
Other names
Town of South Shore
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L. FALK TREASURER (OFFICE MANAGER)
(605) 756-4511
Entity
Organization
Contact information
Practice address
103 EAST BERRY AVE, SOUTH SHORE, SD 57263-0561
(605) 756-4511
Mailing address
PO BOX 561, SOUTH SHORE, SD 57263-0561
(605) 756-4511
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0051
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099096
WELLMARK BLUE CROSS/BLUE
SD
05
—
90002960
—
SD
01
—
P00078761
RAILROAD MEDICARE
SD
01
—
S41825
P-10
SD
Enumeration date
09/05/2006
Last updated
05/22/2013
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