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EDGEMONT AMBULANCE SERVICE
NPI 1629153002
Ambulance - Land Transport in Edgemont, SD

Active since October 26, 2006CLIA 43D1049841 · Waiver
219 2ND STREET, EDGEMONT, SD 57735(605) 662-7977(605) 662-7977 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgemont Ambulance Service NPPES

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

EDGEMONT AMBULANCE SERVICE (NPI 1629153002) is a healthcare organization registered as a land transport in Edgemont, South Dakota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Brenda M Litzel, Billing Eas, as its authorized official.

NPPES Registry Identity

NPI1629153002
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameEDGEMONT AMBULANCE SERVICE
Location Address219 2ND STREETEdgemont, SD 57735
Mailing AddressPo Box 212Edgemont, SD 57735 · (605) 662-7977 · Fax (605) 662-7977
Phone(605) 662-7977
Fax(605) 662-7977
Organization SubpartNo
Authorized OfficialBrenda M LitzelBilling Eas · (605) 662-7416
Enumeration DateOctober 26, 2006
Last NPPES UpdateNovember 4, 2010
✔ NPI 1629153002 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 · 29
219 2ND STREET, Edgemont, SD 57735
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified99067
Medicaid9010800SD

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 43D1049841

Edgemont Ambulance Service · Edgemont, SD
Active · expires Jan 18, 2028
CLIA Number43D1049841
Laboratory TypeAmbulance
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorPaul Nelsen
Laboratory Phone(605) 662-7977
Laboratory LocationEdgemont Ambulance ServicePO Box 725, Edgemont, SD 57735
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.
878 services23 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
29 services23 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 Edgemont Ambulance Service's NPI number?

The NPI number for Edgemont Ambulance Service is 1629153002. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Edgemont Ambulance Service located?

Edgemont Ambulance Service is located at 219 2nd Street, Edgemont, SD 57735. The listed phone number is (605) 662-7977.

What is Edgemont Ambulance Service's specialty?

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

Does Edgemont Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D1049841) is associated with this NPI, valid through January 18, 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 Edgemont Ambulance Service was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.