Centerville Community Ambulance Service, Inc.

LBN: Centerville Community Ambulance Service, Inc.
Centerville Community Ambulance Service, Inc. is an health care organization with primary practice located at 800 Main Street Box 181, Centerville SD 57014-0181. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Centerville Community Ambulance Service, Inc. can be contacted via phone (605) 563-2842, or through Petersen, Debra A via phone (605) 563-2842.

Contact Information

Primary practice address
800 Main Street Box 181 Centerville SD 57014-0181
Phone: (605) 563-2842
Fax: (605) 563-2804
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Debra A
Phone: (605) 563-2842

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 611 South Dakota

Profile Details

NPI number 1134129836
LBN Legal business name Centerville Community Ambulance Service, Inc.
DBA Doing business as
Authorized official Petersen, Debra A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134129836 NPPES
Other 4305151 BLUE CROSS BLUE SHIELD
Other 93812 BLUE CROSS BLUE SHIELD
MEDICAID 9000490 BLUE CROSS BLUE SHIELD
Other 9214848 BLUE CROSS BLUE SHIELD

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