Organization
HURON AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GIBSON (OFFICE MANAGER)
(605) 352-2600
Entity
Organization
Contact information
Practice address
1357 DAKOTA AVENUE NORTH, HURON, SD 57350-4544
(605) 352-2600
(605) 352-2600
Mailing address
PO BOX 3100, CARBONDALE, IL 62902-3100
(618) 529-2200
(605) 853-2653
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
041
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090009
WELLMARK
SD
01
—
590163079
RAIL ROAD MEDICARE
SD
05
—
9000060
—
SD
01
—
N0175
DAKOTA CARE
SD
Enumeration date
01/10/2006
Last updated
01/25/2023
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