Provider Demographics
NPI:1083645493
Name:MIDLAND AREA EMERGENCY MEDICAL SERVICE
Entity Type:Organization
Organization Name:MIDLAND AREA EMERGENCY MEDICAL SERVICE
Other - Org Name:MIDLAND AREA EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:605-843-2863
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:SD
Mailing Address - Zip Code:57552-0025
Mailing Address - Country:US
Mailing Address - Phone:605-843-2111
Mailing Address - Fax:605-843-2270
Practice Address - Street 1:509 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:SD
Practice Address - Zip Code:57552-0025
Practice Address - Country:US
Practice Address - Phone:605-843-2863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9000380Medicaid
SDS4656Medicare PIN
SD9000380Medicaid