| Organization Name: | SELBY VOLUNTEER AMBULANCE |
| NPI Number: | 1275687386 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON MOAK (TREASURER) |
| Mailing Address: | 2511 3rd Ave Selby |
| State: | SD US |
| Postal Code: | 574720192 |
| Phone Number: | 6056497362 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 04/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |