Organization
WHITE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE SMITH (ACCOUNT REPRESENTATIVE)
(605) 882-9911
Entity
Organization
Contact information
Practice address
107 N LINCOLN AVE, WHITE, SD 57276
(605) 882-9911
(605) 882-9922
Mailing address
107 N LINCOLN AVE, PO BOX 93, WHITE, SD 57276
(605) 882-9911
(605) 882-9922
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0063
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001410
—
SD
Enumeration date
11/28/2006
Last updated
07/17/2024
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