Provider Demographics
NPI:1902920309
Name:DELL RAPIDS COMMUNITY AMBULANCE SERVICE
Entity Type:Organization
Organization Name:DELL RAPIDS COMMUNITY AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SITTIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-428-6100
Mailing Address - Street 1:909 N IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:DELL RAPIDS
Mailing Address - State:SD
Mailing Address - Zip Code:57022-1231
Mailing Address - Country:US
Mailing Address - Phone:605-428-6100
Mailing Address - Fax:605-428-3393
Practice Address - Street 1:909 N IOWA AVE
Practice Address - Street 2:
Practice Address - City:DELL RAPIDS
Practice Address - State:SD
Practice Address - Zip Code:57022-1231
Practice Address - Country:US
Practice Address - Phone:605-428-6100
Practice Address - Fax:605-428-3393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0011341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9010090Medicaid
SDS99148Medicare PIN