Organization Name: | EASTERN PENNINGTON COUNTY AMBULANCE DISTRICT INC |
NPI Number: | 1689914178 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN KITTERMAN (AMBULANCE DIRECTOR) |
Mailing Address: | 210 Second Avenue Wall |
State: | SD US |
Postal Code: | 577900336 |
Phone Number: | 6052792663 |
Fax Number: | 6052792067 |
NPI Enumeration Date: | 02/21/2013 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |