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

Q: What is Timber Lake Ambulance Service Inc's NPI number?

The NPI number for Timber Lake Ambulance Service Inc is 1043247679. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as Timber Lake Ambulance Service.

Q: What is Timber Lake Ambulance Service Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since June 27, 2006CLIA 43D1049525 · Waiver

900 MAIN ST, TIMBER LAKE, SD 57656(402) 572-4019(402) 965-8594 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Timber Lake Ambulance Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMBER LAKE AMBULANCE SERVICE (NPI 1043247679) is a healthcare organization registered as a land transport in Timber Lake, South Dakota and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Chris Hermes, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1043247679

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameTIMBER LAKE AMBULANCE SERVICE INC

Location Address900 MAIN STTimber Lake, SD 57656

Mailing AddressPo Box 641880Omaha, NE 68164-7880 · (402) 572-4019 · Fax (402) 965-8594

Phone(402) 572-4019

Fax(402) 965-8594

Organization SubpartNo

Authorized OfficialChris HermesTreasurer · (402) 572-4019

Enumeration DateJune 27, 2006

Last NPPES UpdateApril 29, 2009

✔ NPI 1043247679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in SD · 0243

900 MAIN ST, Timber Lake, SD 57656

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Other Names 1

Doing Business AsTimber Lake Ambulance Service

Other Identifiers 4

Other0099213SD · Blue Cross Provider

Medicaid9017020SD

Other590014108Rr Medicare Provider

Medicare PIN99213

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D1049525

Timber Lake Ambulance Service · Timber Lake, SD

Active · expires Jan 9, 2028

CLIA Number43D1049525

Laboratory TypeAmbulance

Certificate Effective DateJanuary 10, 2026

Certificate Expiration DateJanuary 9, 2028

Laboratory DirectorChris K. Hermes

Laboratory Phone(605) 865-3654

Laboratory LocationTimber Lake Ambulance Service700 Main Street PO Box 192, Timber Lake, SD 57656

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timber Lake Ambulance Service Inc's NPI number?

The NPI number for Timber Lake Ambulance Service Inc is 1043247679. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as Timber Lake Ambulance Service.

Where is Timber Lake Ambulance Service Inc located?

Timber Lake Ambulance Service Inc is located at 900 Main St, Timber Lake, SD 57656. The listed phone number is (402) 572-4019.

What is Timber Lake Ambulance Service Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Timber Lake Ambulance Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D1049525) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timber Lake Ambulance Service Inc was last updated on April 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.