KEYSTONE AMBULANCE SERVICE INC.
NPI 1437120359
Ambulance - Land Transport in Keystone, SD
About Keystone Ambulance Service Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYSTONE AMBULANCE SERVICE INC. (NPI 1437120359) is a healthcare organization registered as a land transport in Keystone, South Dakota and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Deana Marie Mulloy, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keystone Ambulance Service Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 43D1049728
Keystone Ambulance Service Inc · Keystone, SDAreas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Keystone Ambulance Service Inc.'s NPI number?
The NPI number for Keystone Ambulance Service Inc. is 1437120359. It was assigned to this organization in the NPPES registry on January 30, 2006.
Where is Keystone Ambulance Service Inc. located?
Keystone Ambulance Service Inc. is located at 1005 Harney Street Box 175, Keystone, SD 57751. The listed phone number is (605) 666-5033.
What is Keystone Ambulance Service Inc.'s specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Is Keystone Ambulance Service Inc. enrolled in Medicare?
Yes. Keystone Ambulance Service Inc. is registered in the Medicare PECOS enrollment system.
When is Keystone Ambulance Service Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Dakota, Ambulance Service Supplier) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Keystone Ambulance Service Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D1049728) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Keystone Ambulance Service Inc. accept?
Health plans from Wellmark of South Dakota, Inc. list Keystone Ambulance Service Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Keystone Ambulance Service Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Keystone Ambulance Service Inc. · NPI 1437120359
Land Transport organization in Keystone, South Dakota. Organization record, active in the CMS NPPES registry since January 30, 2006.
## Identity
- **NPI:** 1437120359 (Entity type: Organization)
- **Enumerated:** January 30, 2006
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Organization subpart:** No
- **Authorized official:** Deana Mulloy, OFFICE MANAGER
## Practice location
- **Address:** 1005 HARNEY STREET, BOX 175, Keystone, SD 57751-0175
- **Phone:** (605) 666-5033 · **Fax:** (605) 666-5236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, South Dakota, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 9002930 (SD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437120359) · Data from the CMS NPPES public registry.