Organization
PHILIP AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER OLDENBERG (PARAMEDIC)
(605) 859-2424
Entity
Organization
Contact information
Practice address
100 S LARIMER AVE, PHILIP, SD 57567
(605) 859-2424
Mailing address
PO BOX 395, 100 S LARIMER AVE, PHILIP, SD 57567-0395
(605) 859-2424
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
311
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005507
INSURANCE
SD
05
—
9010982
—
SD
01
—
9173771
DAKOTA CARE
SD
Enumeration date
02/23/2007
Last updated
08/22/2020
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