Provider Demographics
NPI:1629168869
Name:YANKTON COUNTY
Entity Type:Organization
Organization Name:YANKTON COUNTY
Other - Org Name:YANKTON COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-668-9033
Mailing Address - Street 1:805 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-3620
Mailing Address - Country:US
Mailing Address - Phone:605-668-9033
Mailing Address - Fax:605-668-0585
Practice Address - Street 1:805 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-3620
Practice Address - Country:US
Practice Address - Phone:605-668-9033
Practice Address - Fax:605-668-0585
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YANKTON COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-16
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD071341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0099031OtherBLUE CROSS/BLUE SHIELD
SD9010110Medicaid
SDN0322OtherDAKOTA CARE
SDN0322OtherDAKOTA CARE
SDS99031Medicare PIN