WALL AMBULANCE SERVICE
NPI 1689914178
Ambulance - Land Transport in Wall, SD

Q: What is Eastern Pennington County Ambulance District Inc's specialty?

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

Active since February 21, 2013CLIA 43D1049618 · Waiver

210 SECOND AVENUE, WALL, SD 57790(605) 279-2663(605) 279-2067 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Wall Ambulance Service NPPES

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

WALL AMBULANCE SERVICE (NPI 1689914178) is a healthcare organization registered as a land transport in Wall, South Dakota and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists John Kitterman, Ambulance Director, as its authorized official.

NPPES Registry Identity

NPI1689914178

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameEASTERN PENNINGTON COUNTY AMBULANCE DISTRICT INC

Location Address210 SECOND AVENUEWall, SD 57790-0336

Mailing AddressPo Box 336Wall, SD 57790-0336 · (605) 279-2663 · Fax (605) 279-2067

Phone(605) 279-2663

Fax(605) 279-2067

Organization SubpartNo

Authorized OfficialJohn KittermanAmbulance Director · (605) 279-2620

Enumeration DateFebruary 21, 2013

Last NPPES UpdateJune 4, 2013

✔ NPI 1689914178 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 · 0026

210 SECOND AVENUE, Wall, SD 57790

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Other Names 1

Doing Business AsWall Ambulance Service

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 43D1049618

Wall Ambulance Service · Wall, SD

Active · expires Jan 10, 2028

CLIA Number43D1049618

Laboratory TypeAmbulance

Certificate Effective DateJanuary 11, 2026

Certificate Expiration DateJanuary 10, 2028

Laboratory DirectorJustin Perkins

Laboratory Phone(605) 279-2620

Laboratory LocationWall Ambulance Service210 2nd Avenue PO Box 336, Wall, SD 57790

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 3

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.

1,128 services21 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.

13 services12 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.

11 services11 patients

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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 Eastern Pennington County Ambulance District Inc's NPI number?

The NPI number for Eastern Pennington County Ambulance District Inc is 1689914178. It was assigned to this organization in the NPPES registry on February 21, 2013. The provider is doing business as Wall Ambulance Service.

Where is Eastern Pennington County Ambulance District Inc located?

Eastern Pennington County Ambulance District Inc is located at 210 Second Avenue, Wall, SD 57790. The listed phone number is (605) 279-2663.

What is Eastern Pennington County Ambulance District Inc's specialty?

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

Does Eastern Pennington County Ambulance District Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D1049618) is associated with this NPI, valid through January 10, 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 Eastern Pennington County Ambulance District Inc was last updated on June 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.