TIMBER LAKE AMBULANCE SERVICE
NPI 1043247679
Ambulance - Land Transport in Timber Lake, SD

NPI Status: Active since June 27, 2006

Contact Information

900 MAIN ST
TIMBER LAKE, SD
ZIP 57656
Phone: (402) 572-4019
Fax: (402) 965-8594

Get Directions Write a Review

  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 43D1049525
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 01-09-2028

About TIMBER LAKE AMBULANCE SERVICE

This page provides the complete NPI Profile along with additional information for Timber Lake Ambulance Service, a provider established in Timber Lake, South Dakota operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1043247679 assigned on June 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 0243 (SD). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Timber Lake Ambulance Service. The authorized official of this NPI record is Miss Chris Hermes (Treasurer)

NPI
1043247679
Provider Legal Name
TIMBER LAKE AMBULANCE SERVICE INC
Other Organization Name
TIMBER LAKE AMBULANCE SERVICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
900 MAIN ST TIMBER LAKE, SD 57656
Location Phone
(402) 572-4019
Location Fax
(402) 965-8594
Mailing Address
PO BOX 641880 OMAHA, NE 68164
Mailing Phone
(402) 572-4019
Mailing Fax
(402) 965-8594
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2006
Last Update Date
04-29-2009
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
0243
License State
SD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS CHRIS HERMES

Authorized Official Title
TREASURER
Authorized Official Phone
(402) 572-4019

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0099213OTHER (01)SDBLUE CROSS PROVIDER
9017020MEDICAID (05)SD 
590014108OTHER (01)RR MEDICARE PROVIDER
99213MEDICARE PIN (08) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D1049525
Facility Type
Ambulance
Certificate Effective Date
January 10, 2026
Certificate Expiration Date
January 09, 2028
Laboratory Director
CHRIS K. HERMES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Timber Lake Ambulance Service to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TIMBER LAKE AMBULANCE SERVICE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043247679, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 4 + 4 + 1 + 4 + 6 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1043247679.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043247679, enumerated as an "organization" on June 27, 2006.

The provider is located at 900 MAIN ST TIMBER LAKE, SD 57656 and the phone number is (402) 572-4019.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.