TIMBER LAKE AMBULANCE SERVICE
NPI 1043247679
Ambulance - Land Transport in Timber Lake, SD
- 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 Verify this NPI
- 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.
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 |
|---|---|---|---|
| 0099213 | OTHER (01) | SD | BLUE CROSS PROVIDER |
| 9017020 | MEDICAID (05) | SD | |
| 590014108 | OTHER (01) | RR MEDICARE PROVIDER | |
| 99213 | MEDICARE 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.
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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.
