Timber Lake Ambulance Service

LBN: Timber Lake Ambulance Service Inc
Timber Lake Ambulance Service is an health care organization with primary practice located at 900 Main St , Timber Lake SD 57656. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Timber Lake Ambulance Service Inc can be contacted via phone (402) 572-4019, or through Hermes, Chris via phone (402) 572-4019.

Contact Information

Primary practice address
900 Main St Timber Lake SD 57656
Phone: (402) 572-4019
Fax: (402) 965-8594
Website:
Map and Directions
Authorized official contact:
Name: Hermes, Chris
Phone: (402) 572-4019

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 0243 South Dakota

Profile Details

NPI number 1043247679
LBN Legal business name Timber Lake Ambulance Service Inc
DBA Doing business as Timber Lake Ambulance Service
Authorized official Hermes, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2006
Last updated Apr 29th, 2009 - about 16 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 1043247679 NPPES
South Dakota MEDICAID 9017020
South Dakota Other 0099213
South Dakota Other 590014108

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