is a Land Transport in Mc Intosh, South Dakota. practices all healthcare services and medical treatments related to Land Transport. The NPI Number for is 1700096328. The last update date is .
's current location address is 120 1st Ave E, Mc Intosh, South Dakota. You can contact this provider via phone number 6052734210. The mailing address for is 120 1st Ave E, Mc Intosh, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 120 1st Ave E, Mc Intosh, South Dakota |
| Phone Number | 6052734210 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700096328 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 120 1st Ave E |
|---|---|
| City | Mc Intosh |
| State | South Dakota (SD) |
| Post Code | 576410174 |
| Phone Number | 6052734210 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Land Transport |
|---|---|
| Taxonomy | 3416L0300X |
| Licence No | 80 |
|
Definition: Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9001170 | SD | -- | |
| 99232 | SD | WELLMARK |
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