Organization
CLARK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE I TARBOX (AMBULANCE BOOKKEEPER)
(605) 532-5921
Entity
Organization
Contact information
Practice address
100 SOUTH CLOUD, CLARK, SD 57225
(605) 532-5891
(605) 532-5931
Mailing address
100 SOUTH CLOUD, CLARK, SD 57225
(605) 532-5891
(605) 532-5931
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
181
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001192
—
SD
Enumeration date
06/29/2005
Last updated
07/28/2010
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