institution
Wagner-lake Andes Ambulance District
Land Ambulance in Lake Andes, South Dakota
NPI 1548286875

Wagner-lake Andes Ambulance District is a Land Ambulance based in Lake Andes, SD and is specialized in Land Transport. Wagner-lake Andes Ambulance District practices in Lake Andes, SD. The NPI Number for Wagner-lake Andes Ambulance District is 1548286875 and holds a License No. 0171 AND 0173 (South Dakota).

The current practice location address for Wagner-lake Andes Ambulance District is 455 E Main St., Lake Andes, SD and can be reached out via phone at 605-487-6177 and via fax at 605-487-6177.

Location: 455 E Main St., Lake Andes, SD, 57356-0758
institution
Provider Profile Details
NPI Number
1548286875
Provider Name
Wagner-lake Andes Ambulance District
Credential
Provider Entity Type
Organization
Address
455 E Main St., Lake Andes, SD, 57356-0758
Phone Number
605-487-6177
Fax Number
605-487-6177
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0735183 05 IA
9000510 05 SD
QAB175 05 SC
4997455 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
455 E Main St.
City
State
Zip
57356-0758
Phone Number
605-487-6177
Fax Number
605-487-6177
person
Provider Business Mailing Address Details
Address
455 E Main St.
City
State
Zip
57356-0758
Phone Number
605-487-6177
Fax Number
605-487-6177
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
0171 AND 0173 (South Dakota)
Definition
Definition to come...
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