Provider Demographics
NPI:1366654345
Name:TRIPP AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:TRIPP AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FRIEDERICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-935-6907
Mailing Address - Street 1:PO BOX P
Mailing Address - Street 2:
Mailing Address - City:TRIPP
Mailing Address - State:SD
Mailing Address - Zip Code:57376-0466
Mailing Address - Country:US
Mailing Address - Phone:605-935-6907
Mailing Address - Fax:605-935-6331
Practice Address - Street 1:205 S MAIN ST
Practice Address - Street 2:
Practice Address - City:TRIPP
Practice Address - State:SD
Practice Address - Zip Code:57376-0466
Practice Address - Country:US
Practice Address - Phone:605-935-6907
Practice Address - Fax:605-935-6331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0374341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance