White Lake Ambulance Service

LBN: White Lake Ambulance Service
White Lake Ambulance Service is an health care organization with primary practice located at 209 North Main Street , White Lake SD 57383-0245. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. White Lake Ambulance Service can be contacted via phone (605) 249-2279, or through Schroeder, Carol via phone (605) 249-2279.

Contact Information

Primary practice address
209 North Main Street White Lake SD 57383-0245
Phone: (605) 249-2279
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schroeder, Carol
Phone: (605) 249-2279

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 102 South Dakota

Profile Details

NPI number 1417175373
LBN Legal business name White Lake Ambulance Service
DBA Doing business as
Authorized official Schroeder, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Apr 16th, 2010 - 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 1417175373 NPPES
South Dakota MEDICAID 9000642

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