Healthcare Provider Details

I. General information

NPI: 1902972417
Provider Name (Legal Business Name): HOT SPRINGS AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 S US HWY 385
HOT SPRINGS SD
57747
US

IV. Provider business mailing address

P.O. BOX 927
HOT SPRINGS SD
57747
US

V. Phone/Fax

Practice location:
  • Phone: 605-793-9911
  • Fax: 605-793-9922
Mailing address:
  • Phone: 605-793-9911
  • Fax: 605-793-9922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0272
License Number StateSD

VIII. Authorized Official

Name: MRS. MICHELE SMITH
Title or Position: ACCONT REPRESENTATIVE
Credential:
Phone: 605-793-9911