MEDICARE: BUTTE COUNTY AMBULANCE SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0099070	OTHER	SD	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902873888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTTE COUNTY AMBULANCE SERVICE

Provider Business Mailing Address
First Line	:	605 6TH AVE
Second Line	:
City	:	BELLE FOURCHE
State	:	SD
Zip	:	57717-1406
Country	:	US
Telephone Number	:	605-892-2254
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 6TH AVE
Second Line	:
City	:	BELLE FOURCHE
State	:	SD
Zip	:	57717-1406
Country	:	US
Telephone Number	:	605-892-2254
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHERRY A HOCKING
Credential	:
Telephone Number	:	605-210-0703

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	09/08/2022

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Directions to “BUTTE COUNTY AMBULANCE SERVICE ” Practice Location

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