Provider Demographics
NPI:1285804195
Name:LYMAN COUNTY AMBULANCE DISTRICT
Entity type:Organization
Organization Name:LYMAN COUNTY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-222-2581
Mailing Address - Street 1:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:PRESHO
Mailing Address - State:SD
Mailing Address - Zip Code:57568-0267
Mailing Address - Country:US
Mailing Address - Phone:605-222-2581
Mailing Address - Fax:605-895-9424
Practice Address - Street 1:221 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESHO
Practice Address - State:SD
Practice Address - Zip Code:57568
Practice Address - Country:US
Practice Address - Phone:605-222-2581
Practice Address - Fax:605-895-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD04523416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport