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Organization

HARDING COUNTY SOUTH DAKOTA

Active
Other names
Buffalo or Camp Crook Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
BECKY K. BRENGLE (HARDING COUNTY TREASURER)
(605) 375-3542
Entity
Organization

Contact information

Practice address
410 RAMSLAND, BUFFALO, SD 57720
(605) 375-3542
(605) 375-3176
Mailing address
410 RAMSLAND, BUFFALO, SD 57720
(605) 375-3542
(605) 375-3176

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0351
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0099206
WELLMARK BCBS OF SD
SD
05
9000050
SD
Enumeration date
07/03/2006
Last updated
07/11/2012
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