Healthcare Provider Details

I. General information

NPI: 1902920309
Provider Name (Legal Business Name): DELL RAPIDS COMMUNITY AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 06/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 N IOWA AVE
DELL RAPIDS SD
57022-1231
US

IV. Provider business mailing address

909 N IOWA AVE
DELL RAPIDS SD
57022-1231
US

V. Phone/Fax

Practice location:
  • Phone: 605-428-6100
  • Fax: 605-428-3393
Mailing address:
  • Phone: 605-428-6100
  • Fax: 605-428-3393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0011
License Number StateSD

VIII. Authorized Official

Name: RYAN R SITTIG
Title or Position: ASSISTANT BUSINESS MANAGER
Credential:
Phone: 605-428-6100