CITY OF LAKE PRESTON NPI 1477569267

NPI Information

NPI: 1477569267
Provider Name: CITY OF LAKE PRESTON

Doing Business As: LAKE PRESTON AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
111 3RD ST NE
LAKE PRESTON, SD
ZIP 57249
Phone: (605) 847-4140
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CITY OF LAKE PRESTON is a land transport ambulance in Lake Preston, SD. CITY OF LAKE PRESTON NPI is 1477569267. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Preston Ambulance Service.

The provider's business location address is:

111 3RD ST NE
LAKE PRESTON, SD
ZIP 57249-397
Phone: (605) 847-4140
Fax: (605) 847-4140

The provider's authorized official is Bonnie M Nelson .
The authorized official title is President and has the following contact phone number (605) 847-4140.

The CLIA number assigned to this NPI record is 43D1049524 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 9/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	0424	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S91019	MEDICARE PIN	SOUTH DAKOTA
2	9000340	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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