Organization
PERKINS COUNTY AMBULANCE
Active
Other names
BISON AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE SMITH (ACCOUNT REPRESENTATIVE)
(605) 793-9911
Entity
Organization
Contact information
Practice address
105 W MAIN, BISON, SD 57620
(605) 244-5550
Mailing address
PO BOX 156, BISON, SD 57620-0156
(605) 244-5550
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0531
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609032838
WELLMARK, BCBS
SD
05
—
1609032838
—
SD
Enumeration date
08/07/2008
Last updated
12/14/2010
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