ROSEBUD SIOUX TRIBE AMBULANCE SERVICE NPI 1972640381

NPI Information

NPI: 1972640381
Provider Name: ROSEBUD SIOUX TRIBE AMBULANCE SERVICE
Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Organization
Address:
15 CIRCLE DR
ROSEBUD, SD
ZIP 57570
Phone: (605) 747-2633
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ROSEBUD SIOUX TRIBE AMBULANCE SERVICE is an emergency medical technician paramedic in Rosebud, SD. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. ROSEBUD SIOUX TRIBE AMBULANCE SERVICE NPI is 1972640381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 CIRCLE DR
ROSEBUD, SD
ZIP 57570
Phone: (605) 747-2633

The provider's authorized official is C Steve Brave .
The authorized official title is Director and has the following contact phone number (605) 747-2633.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	146L00000X	Emergency Medical Technician, Paramedic	601	SOUTH DAKOTA	Yes
2	146M00000X	Emergency Medical Technician, Intermediate	601	SOUTH DAKOTA	X
3	146N00000X	Emergency Medical Technician, Basic	601	SOUTH DAKOTA	X

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	9010690	MEDICAID	SOUTH DAKOTA
2	0099240	OTHER	SOUTH DAKOTA	INSURANCE
3	9515314	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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