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KEYSTONE AMBULANCE SERVICE INC.
NPI 1437120359
Ambulance - Land Transport in Keystone, SD

Active since January 30, 2006CLIA 43D1049728 · Waiver
1005 HARNEY STREET, BOX 175, KEYSTONE, SD 57751(605) 666-5033(605) 666-5236 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1437120359
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameKEYSTONE AMBULANCE SERVICE INC.
Location Address1005 HARNEY STREET, BOX 175Keystone, SD 57751-0175
Mailing AddressBox 175, 1005 Harney StreetKeystone, SD 57751-0175 · (605) 666-5033 · Fax (605) 666-5236
Phone(605) 666-5033
Fax(605) 666-5236
Organization SubpartNo
Authorized OfficialDeana Marie MulloyOffice Manager · (605) 666-5033
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437120359 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 · 025
1005 HARNEY STREET, Keystone, SD 57751
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Other Identifiers 1

Medicaid9002930SD

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, SD
Active · expires Jan 16, 2028
CLIA Number43D1049728
Laboratory TypeAmbulance
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorMatt Thompson
Laboratory Phone(605) 666-5033
Laboratory LocationKeystone Ambulance Service Inc915 Harney Street PO Box 175, Keystone, SD 57751
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
732 services30 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
29 services27 patients

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.

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.

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 5 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.