Provider Demographics
NPI:1952420721
Name:CITY FINANCE OFFICER
Entity Type:Organization
Organization Name:CITY FINANCE OFFICER
Other - Org Name:WESSINGTON AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY FINANCE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HERDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-458-2480
Mailing Address - Street 1:20426 375TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESSINGTON
Mailing Address - State:SD
Mailing Address - Zip Code:57381-8316
Mailing Address - Country:US
Mailing Address - Phone:605-458-2467
Mailing Address - Fax:
Practice Address - Street 1:110 BROOK ST. E.
Practice Address - Street 2:
Practice Address - City:WESSINGTON
Practice Address - State:SD
Practice Address - Zip Code:57381-8316
Practice Address - Country:US
Practice Address - Phone:605-458-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCTY 37073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9001382Medicaid
SD100987Medicare PIN